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GARFIELD BEACH CVS, L.L.C.
CHC26620-05 KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
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Covered Entity Details
Entity Name
KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Subdivision Name
Kheir Clinic-Dental & Optometry
Type
HRSA-Funded Health Center
340B ID
CHC26620-05
Entity Address
3750 W 6th St
#113 & #114
Los Angeles, CA 90020-5100
Grant Number
H80CS26620
Participating Start Date
7/1/2022
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16093
2169 W REDONDO BEACH BLVD
GARDENA, CA 90247
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
Erin Pak, CEO
(213) 427-4000 Ext: 107
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2022
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