340B Drug Pricing Program Database

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09102
10575 SCRIPPS POWAY PRKY
SAN DIEGO, CA 92131

Pharmacy Comments

Approval Date

3/8/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/5/2016
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Kevin Thompson, Chief Financial Officer
(858) 939-3884

Contract Pharmacy Representative

Scott Tierney, Senior Director, Payer Relations
(401) 770-2762

Signed By Date

1/15/2013