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GARFIELD BEACH CVS, L.L.C.
CH09364V Family Healthcare Network
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Covered Entity Details
Entity Name
Family Healthcare Network
Subdivision Name
Family HealthCare Network - Strathmore Health Center
Type
HRSA-Funded Health Center
340B ID
CH09364V
Entity Address
22817 Avenue 196
Strathmore, CA 93267
Grant Number
H80CS00786
Participating Start Date
7/1/2018
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17477
1363 W HENDERSON AVE
PORTERVILLE, CA 93257
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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