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HOLIDAY CVS, L.L.C.
CH044130 MIAMI BEACH COMMUNITY HEALTH CENTER INC.
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Covered Entity Details
Entity Name
MIAMI BEACH COMMUNITY HEALTH CENTER INC.
Subdivision Name
MIAMI BEACH COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH044130
Entity Address
710 Alton Rd
Miami Beach, FL 33139
Grant Number
H80CS00182
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04249
11890 BISCAYNE BLVD
MIAMI, FL 33181
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/6/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Rabinowitz, CEO
(305) 538-8835 Ext: 1600
Contract Pharmacy Representative
CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
Signed By Date
4/15/2016
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