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GARFIELD BEACH CVS, L.L.C.
CH09311BG AltaMed Health Services Corporation
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Covered Entity Details
Entity Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed PACE - Anaheim
Type
HRSA-Funded Health Center
340B ID
CH09311BG
Entity Address
1325 N Anaheim Blvd Ste 100
Anaheim, CA 92801-1202
Grant Number
H80CS00142
Participating Start Date
4/1/2021
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09560
611 S. BROOKHURST ST.
ANAHEIM, CA 92804
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Contract Pharmacy Representative
WellPartner
Kristen Danahy, Advisor/Manager, Account Management
(480) 364-2573
Signed By Date
7/3/2024
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