Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC10608-25 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Central City Community Health Center - Indio 2

Type

HRSA-Funded Health Center

340B ID

CHC10608-25

Entity Address

81709 Dr Carreon Blvd.
Ste E1 & E2
Indio, CA 92201-5589

Grant Number

H80CS10608

Participating Start Date

7/1/2018

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09560
611 S. BROOKHURST ST.
ANAHEIM, CA 92804

Pharmacy Comments

Contract Details

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Contract Pharmacy Representative

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

Signed By Date

10/13/2023

340B Drug Pricing Program Database