Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC10607-04 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC

Covered Entity Details

Entity Name

COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC

Subdivision Name

Comprehensive Community Health Centers, Inc-Sunland

Type

HRSA-Funded Health Center

340B ID

CHC10607-04

Entity Address

8316 Foothill Blvd.
Sunland, CA 91040-2850

Grant Number

H80CS10607

Participating Start Date

7/1/2017

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 04792
15232 SHERMAN WAY
VAN NUYS, CA 91405

Pharmacy Comments

Contract Details

Approval Date

7/18/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

FLORA POLADYAN, COO
(818) 630-6106

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/18/2024

340B Drug Pricing Program Database