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HOLIDAY CVS, L.L.C.
STD33322 Alpha Omega Alliance Inc
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Covered Entity Details
Entity Name
Alpha Omega Alliance Inc
Subdivision Name
Riviera Beach Integrated Care
Type
Sexually Transmitted Diseases
340B ID
STD33322
Entity Address
2500 N University
#2
Sunrise, FL 33322
Grant Number
NH25PS005131
Participating Start Date
12/4/2019
Last Recertification Date
5/3/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17484
1760 PALM BEACH LAKES BLVD
WEST PALM BEACH, FL 33401
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Monique D Brown Wellons, CEO
(561) 510-0471
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2020
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