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HOLIDAY CVS, L.L.C.
STD334073 Monarch Health Services, Inc.
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Covered Entity Details
Entity Name
Monarch Health Services, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334073
Entity Address
2580 Metrocentre Blvd
Suite
1
West Palm Beach, FL 33407
Grant Number
NH25PS005131
Participating Start Date
4/1/2019
Last Recertification Date
6/4/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04099
1390 S. JEFFERSON ST.
MONTICELLO, FL 32344
Pharmacy Comments
Contract Details
Approval Date
4/8/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Damion Baker, CEO
(561) 374-2984
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/8/2020
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