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GARFIELD BEACH CVS, L.L.C.
FQHC638024G UNITED INDIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
UNITED INDIAN HEALTH SERVICES
Subdivision Name
Eureka 434 7th St
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638024G
Entity Address
434 7th St.
Eureka, CA 95501
Grant Number
Participating Start Date
7/1/2023
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16759
2525 4TH ST
EUREKA, CA 95501
Pharmacy Comments
Contract Details
Approval Date
10/18/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Myers, Chief Clinical Officer
(707) 825-4070
Contract Pharmacy Representative
United Indian Health Services
Kanako Miyamoto, Pharmacy Director
(707) 825-4095
Signed By Date
10/18/2023
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