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GARFIELD BEACH CVS, L.L.C.
STD92562 Planned Parenthood of the Pacific Southwest
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Covered Entity Details
Entity Name
Planned Parenthood of the Pacific Southwest
Subdivision Name
Murrieta
Type
Sexually Transmitted Diseases
340B ID
STD92562
Entity Address
25130 Hancock Avenue
Suite 100
Murrieta, CA 92562
Grant Number
1H25PS005127
Participating Start Date
1/1/2024
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10954
402 5TH AVENUE
SAN DIEGO, CA 92101
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Darrah Johnson, CEO
(619) 881-5050 Ext: 6198815050
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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