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GARFIELD BEACH CVS, L.L.C.
RWI900271 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER - HOLLYWOOD
Type
Ryan White Part A
340B ID
RWI900271
Entity Address
4905 Hollywood Blvd.
LOS ANGELES, CA 90027
Grant Number
H89HA00016
Participating Start Date
7/1/2005
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10309
210 WEST 7TH STREET
LOS ANGELES, CA 90014
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2023
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