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GARFIELD BEACH CVS, L.L.C.
CH09364J FAMILY HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
FAMILY HEALTHCARE NETWORK
Subdivision Name
FAMILY HEALTHCARE NETWORK - GOSHEN HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09364J
Entity Address
31180 Road 72
GOSHEN, CA 93291-9303
Grant Number
H80CS00786
Participating Start Date
11/17/2005
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17520
3308 N DINUBA BLVD
VISALIA, CA 93291
Pharmacy Comments
Contract Details
Approval Date
7/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kerry Hydash, President and CEO
(559) 737-4700
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2024
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