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HOLIDAY CVS, L.L.C.
CH040210 CENTRAL FLORIDA HEALTH CARE, INC.
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Covered Entity Details
Entity Name
CENTRAL FLORIDA HEALTH CARE, INC.
Subdivision Name
CFHC Avon Park Primary Care
Type
HRSA-Funded Health Center
340B ID
CH040210
Entity Address
950 COUNTY ROAD 17-A, WEST
AVON PARK, FL 33825-2164
Grant Number
H80CS00423
Participating Start Date
1/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00511
35799 HWY 27
HAINES CITY, FL 33844
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ANN CLAUSSEN, CEO
(863) 291-5115
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/11/2019
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