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GARFIELD BEACH CVS, L.L.C.
CH09167M VISTA COMMUNITY CLINIC
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Covered Entity Details
Entity Name
VISTA COMMUNITY CLINIC
Subdivision Name
VCC Mobile Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH09167M
Entity Address
517 N Horne St
Oceanside, CA 92054-2518
Grant Number
H80CS00282
Participating Start Date
1/1/2021
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08866
1706 OCEANSIDE BLVD
OCEANSIDE, CA 92054
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
1/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele Lambert, CFO
(760) 216-5803
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2023
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