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GARFIELD BEACH CVS, L.L.C.
FQHCLA448 CALI MED CORPORATION
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Covered Entity Details
Entity Name
CALI MED CORPORATION
Subdivision Name
Cali-Med Corporation
Type
Health Center Program Look-Alike
340B ID
FQHCLA448
Entity Address
3314 Firestone Blvd
South Gate, CA 90280-2938
Grant Number
LALCS49537
Participating Start Date
10/1/2023
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09642
8530 RESEDA BLVD.
NORTHRIDGE, CA 91324
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Romeo V Herrera, Chief Operating Officer
(310) 407-9331
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2024
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