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GARFIELD BEACH CVS, L.L.C.
FQHC638012F Northern Valley Indian Health
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Covered Entity Details
Entity Name
Northern Valley Indian Health
Subdivision Name
Gibson Rd
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638012F
Entity Address
1280 E Gibson Rd
Woodland, CA 95776
Grant Number
Participating Start Date
10/1/2021
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17468
2185 BRONZE STAR DR
WOODLAND, CA 95776
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Inder Wadhwa, CEO
(530) 896-9409
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
1/13/2025
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