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HOLIDAY CVS, L.L.C.
STD327892 Harmony Healthcare Orlando, Inc.
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Covered Entity Details
Entity Name
Harmony Healthcare Orlando, Inc.
Subdivision Name
Harmony Healthcare, Inc
Type
Sexually Transmitted Diseases
340B ID
STD327892
Entity Address
189 S. Orange Ave
Suite 1830
Orlando, FL 32801
Grant Number
NH25PS005131
Participating Start Date
12/9/2019
Last Recertification Date
5/31/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04645
2351 S HIAWASSEE RD
ORLANDO, FL 32835
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Priscilla Torres, Executive Director
(407) 777-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2021
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