340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLIDAY CVS, L.L.C.
STD33308 Light Of Hope, Inc.
Print
Covered Entity Details
Entity Name
Light Of Hope, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33308
Entity Address
3012 E Commercial Blvd.
Fort Lauderdale, FL 33308
Grant Number
NH25PS004342
Participating Start Date
7/1/2019
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00410
2150 EAST COMMERCIAL BLVD
FORT LAUDERDALE, FL 33308
Pharmacy Comments
Contract Details
Approval Date
4/11/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Stephen A Renae, Medical Director
(954) 776-9992 Ext: 100
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/11/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session