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GARFIELD BEACH CVS, L.L.C.
CH09364AR Family Healthcare Network
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Covered Entity Details
Entity Name
Family Healthcare Network
Subdivision Name
Family HealthCare Network - Squaw Valley
Type
HRSA-Funded Health Center
340B ID
CH09364AR
Entity Address
30924 E Kings Canyon Rd
Squaw Valley, CA 93675-9601
Grant Number
H80CS00786
Participating Start Date
1/1/2020
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06772
4987 N. FRESNO ST.
FRESNO, CA 93726
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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