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HOLIDAY CVS, L.L.C.
HV32935 UNCONDITIONAL LOVE, INC
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Covered Entity Details
Entity Name
UNCONDITIONAL LOVE, INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV32935
Entity Address
1495 N. HARBOR CITY BLVD
MELBOURNE, FL 32935
Grant Number
H76HA00615
Participating Start Date
4/1/2003
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00605
1235 N 14TH ST
LEESBURG, FL 34748
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/19/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Jessica J Seidita, CEO
(321) 259-8928 Ext: 206
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2021
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