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GARFIELD BEACH CVS, L.L.C.
CH09047AF Golden Valley Health Centers
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Covered Entity Details
Entity Name
Golden Valley Health Centers
Subdivision Name
GVHC - TURLOCK PEDIATRIC HEALTH CENTER 1199 Suite 3
Type
HRSA-Funded Health Center
340B ID
CH09047AF
Entity Address
1199 Delbon Ave Ste 3
Turlock, CA 95382-2006
Grant Number
H80CS00742
Participating Start Date
4/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03117
1651 BELLEVUE RD
ATWATER, CA 95301
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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