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GARFIELD BEACH CVS, L.L.C.
CHC08216-00 COMMUNICARE HEALTH CENTERS
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Covered Entity Details
Entity Name
COMMUNICARE HEALTH CENTERS
Subdivision Name
DAVIS COMMUNITY CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC08216-00
Entity Address
2051 JOHN JONES ROAD
DAVIS, CA 95616-9701
Grant Number
H80CS08216
Participating Start Date
1/1/2005
Last Recertification Date
2/14/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17468
2185 BRONZE STAR DR
WOODLAND, CA 95776
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
10/11/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Melissa Marshall, Chief Executive Officer
(530) 753-3498
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/4/2022
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