Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
FP900083 T.H.E. CLINIC INC

Covered Entity Details

Entity Name

T.H.E. CLINIC INC

Subdivision Name

CLINIC

Type

Family Planning (Title X only)

340B ID

FP900083

Entity Address

3834 SOUTH WESTERN AVENUE
LOS ANGELES, CA 90062

Grant Number

FPHPA006537

Participating Start Date

1/1/1998

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09588
15103 HAWTHORNE BOULEVARD
LAWNDALE, CA 90260

Pharmacy Comments

Contract Details

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2022

340B Drug Pricing Program Database