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GARFIELD BEACH CVS, L.L.C.
CH09047AM Golden Valley Health Centers
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Covered Entity Details
Entity Name
Golden Valley Health Centers
Subdivision Name
GVHC – Manteca Northgate West
Type
HRSA-Funded Health Center
340B ID
CH09047AM
Entity Address
302 Northgate Dr
Manteca, CA 95336-3139
Grant Number
H80CS00742
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16357
3900 SISK RD
MODESTO, CA 95356
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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