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GARFIELD BEACH CVS, L.L.C.
FQHCLA311A Greater Fresno Health Organization
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Covered Entity Details
Entity Name
Greater Fresno Health Organization
Subdivision Name
North Marks Medical Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA311A
Entity Address
4011 N Marks Ave
Fresno, CA 93722-4555
Grant Number
LALCS00041
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05422
5180 E. KINGS CANYON ROAD
FRESNO, CA 93727
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BLA MOUANOUTOUA, CEO
(559) 255-6476 Ext: 4290
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2024
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