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GARFIELD BEACH CVS, L.L.C.
CHC28985-00 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
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Covered Entity Details
Entity Name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Subdivision Name
Central Neighborhood Health Foundation
Type
HRSA-Funded Health Center
340B ID
CHC28985-00
Entity Address
2614 S Grand Ave
Los Angeles, CA 90007-2607
Grant Number
H80CS28985
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09584
4345 WEST CENTURY BOULEVARD
INGLEWOOD, CA 90304
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth Orduna, CEO
(323) 547-1402
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2022
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