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GARFIELD BEACH CVS, L.L.C.
CH09071X COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS LOMPOC
Type
HRSA-Funded Health Center
340B ID
CH09071X
Entity Address
1300 W Ocean Ave
LOMPOC, CA 93436
Grant Number
H80CS00621
Participating Start Date
10/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09782
610 WEST TEFFT STREET
NIPOMO, CA 93444
Pharmacy Comments
1/15/2010 - STORE NAME CHANGED FROM LONGS DRUG STORES (DBA CVS #9782)
Contract Details
Approval Date
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/5/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/4/2023
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