340B Drug Pricing Program Database
HOLIDAY CVS, L.L.C.
CHC11399-00 Care Resource Community Health Centers, Inc. - information as of 5/12/2025 12:59:57 AM
Covered Entity Details
Entity Name
Care Resource Community Health Centers, Inc.
Subdivision Name
Care Resource Community Health Center at Ft. Lauderdale
Type
HRSA-Funded Health Center
340B ID
CHC11399-00
Entity Address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Grant Number
H80CS12864
Participating Start Date
7/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
NAVARRO DISCOUNT PHARMACY # 10706
14665 SW 104 STREET
MIAMI, FL 33186
Pharmacy Comments
Contract Details
Approval Date
4/12/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/2/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rick Siclari, Chief Executive Officer
(305) 576-1234 Ext: 206
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2021
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