Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC28368-00 SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Subdivision Name

Southern California Medical Center (EM)

Type

HRSA-Funded Health Center

340B ID

CHC28368-00

Entity Address

12100 VALLEY BLVD
EL MONTE, CA 91732-3100

Grant Number

H80CS28368

Participating Start Date

10/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09689
950 WEST FOOTHILL BLVD
MONROVIA, CA 91016

Pharmacy Comments

Contract Details

Approval Date

10/5/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Abbas Hosseini, System Manager
(818) 421-1035

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/5/2023

340B Drug Pricing Program Database