340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GARFIELD BEACH CVS, L.L.C.
CHC28370-00 TRI-STATE COMMUNITY HEALTHCARE CENTER
Print
Covered Entity Details
Entity Name
TRI-STATE COMMUNITY HEALTHCARE CENTER
Subdivision Name
Tri-State Community Healthcare Center
Type
HRSA-Funded Health Center
340B ID
CHC28370-00
Entity Address
1402 BAILEY AVE
NEEDLES, CA 92363-3104
Grant Number
H80CS28370
Participating Start Date
7/1/2017
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09650
13650 BEAR VALLEY RD.
VICTORVILLE, CA 92392
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aram Manoukian, CEO
(760) 326-0222 Ext: 8186584000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session