Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CH09071I COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Subdivision Name

COMMUNITY HEALTH CENTERS TEMPLETON

Type

HRSA-Funded Health Center

340B ID

CH09071I

Entity Address

1330 Las Tablas Rd
Templeton, CA 93465-9758

Grant Number

H80CS00621

Participating Start Date

4/1/2000

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09662
3960 BROAD STREET
SAN LUIS OBISPO, CA 93401

Pharmacy Comments

01/15/2010 - STORE NAME CHANGED FROM LONGS DRUG STORES (DBA - CVS #9662)

Contract Details

Approval Date

6/9/2023

Contract Begin Date

6/9/2023

Carve-In Effective Date

Contract Comments

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

6/9/2023

340B Drug Pricing Program Database