340B Drug Pricing Program Database
HOLIDAY CVS, L.L.C.
STD32174 Midway Specialty Care Center - information as of 5/9/2025 11:17:27 PM
Covered Entity Details
Entity Name
Midway Specialty Care Center
Subdivision Name
Sexually Transmitted Diseases
Type
Sexually Transmitted Diseases
340B ID
STD32174
Entity Address
570 Memorial Circle
Ste 140
Ormond Beach, FL 32174
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03158
1895 N CONGRESS AVE
BOYNTON BEACH, FL 33426
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathryn E Hayden, CFO
(772) 742-9276
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/11/2025
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