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CAREMARK, L.L.C.
STD336757 Florida Department of Health
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Covered Entity Details
Entity Name
Florida Department of Health
Subdivision Name
HCHD-Downtown
Type
Sexually Transmitted Diseases
340B ID
STD336757
Entity Address
1105 EAST KENNEDY BLVD
MAIN BUILDING
TAMPA, FL 33602
Grant Number
NH25PS005131
Participating Start Date
9/9/2005
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/6/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Gisela Hernandez, Director of Nursing
(813) 559-4270
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2020
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