Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CH09848L COUNTY OF VENTURA

Covered Entity Details

Entity Name

COUNTY OF VENTURA

Subdivision Name

Las Islas Family Medical Group North

Type

HRSA-Funded Health Center

340B ID

CH09848L

Entity Address

2400 S C St
Oxnard, CA 93033

Grant Number

H80CS00247

Participating Start Date

10/9/2008

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09631
2825 COCHRAN ST.
SIMI VALLEY, CA 93065

Pharmacy Comments

Contract Details

Approval Date

7/15/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228

Contract Pharmacy Representative

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

Signed By Date

7/15/2022

340B Drug Pricing Program Database