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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
5/12/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03428
1581 W LANTANA RD
LANTANA, FL 33462
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Pharmacy closed
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
7/13/2020
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