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GARFIELD BEACH CVS, L.L.C.
CHC28986-00 COMMUNITY MEDICAL WELLNESS CENTERS USA
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Covered Entity Details
Entity Name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Subdivision Name
Community Medical Wellness Centers USA
Type
HRSA-Funded Health Center
340B ID
CHC28986-00
Entity Address
1360 E ANAHEIM ST, Suite 101
LONG BEACH, CA 90813-5514
Grant Number
H80CS28986
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09572
5117 LAKEWOOD BOULEVARD
LAKEWOOD, CA 90712
Pharmacy Comments
Contract Details
Approval Date
10/9/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sompia Paigne, CEO
(562) 270-0324
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/9/2024
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