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GARFIELD BEACH CVS, L.L.C.
CH09056AC United Health Centers of The San Joaquin Valley
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Covered Entity Details
Entity Name
United Health Centers of The San Joaquin Valley
Subdivision Name
United Health Centers-- Fresno Blackstone
Type
HRSA-Funded Health Center
340B ID
CH09056AC
Entity Address
1110 N Blackstone Ave
Fresno, CA 93701-1016
Grant Number
H80CS00137
Participating Start Date
3/15/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05422
5180 E. KINGS CANYON ROAD
FRESNO, CA 93727
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
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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