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GARFIELD BEACH CVS, L.L.C.
CH09366M Community Health Systems, Inc.
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Covered Entity Details
Entity Name
Community Health Systems, Inc.
Subdivision Name
CHSI Mobile Wellness Clinic 1
Type
HRSA-Funded Health Center
340B ID
CH09366M
Entity Address
9380 Magnolia Ave
Riverside, CA 92503-3749
Grant Number
H80CS00222
Participating Start Date
7/1/2023
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08897
3361 MARKET ST.
RIVERSIDE, CA 92501
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
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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