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GARFIELD BEACH CVS, L.L.C.
CHC28988-17 DAP HEALTH INC
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Covered Entity Details
Entity Name
DAP HEALTH INC
Subdivision Name
CENTRO MEDICO ESCONDIDO
Type
HRSA-Funded Health Center
340B ID
CHC28988-17
Entity Address
1121 E WASHINGTON AVE
ESCONDIDO, CA 92025
Grant Number
H80CS28988
Participating Start Date
10/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09103
318 W EL NORTE PARKWAY
ESCONDIDO, CA 92026
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Judy Stith, Chief Administration Officer
(760) 323-2118 Ext: 526
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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