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GARFIELD BEACH CVS, L.L.C.
CH09311Z ALTAMED HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical and Dental Group: Santa Ana, Main
Type
HRSA-Funded Health Center
340B ID
CH09311Z
Entity Address
1400 N Main St
Santa Ana, CA 92701-2321
Grant Number
H80CS00142
Participating Start Date
7/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09583
102 NORTH MAIN STREET
SANTA ANA, CA 92701
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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