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GARFIELD BEACH CVS, L.L.C.
FQHCLA397B Health Service Alliance
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Covered Entity Details
Entity Name
Health Service Alliance
Subdivision Name
Health Service Alliance
Type
Health Center Program Look-Alike
340B ID
FQHCLA397B
Entity Address
9804 Foothill Blvd
Rancho Cucamonga, CA 91730-3616
Grant Number
LALCS33333
Participating Start Date
10/1/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09816
3290 CHINO HILLS PARKWAY
CHINO HILLS, CA 91709
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeff Cox, Chief Executive Officer
(909) 784-6117
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2023
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