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CAREMARK, L.L.C.
STD32804 ALLIED HEALTH ORGANIZATION INC
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Covered Entity Details
Entity Name
ALLIED HEALTH ORGANIZATION INC
Subdivision Name
Orlando Location
Type
Sexually Transmitted Diseases
340B ID
STD32804
Entity Address
1310 W COLONIAL DRIVE
Suite 28
ORLANDO, FL 32804-0000
Grant Number
NH25PS005131
Participating Start Date
8/3/2020
Last Recertification Date
6/21/2022
Entity Termination Date
7/1/2023
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
5/21/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Alejandro J Castro, CEO
(954) 446-3204
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/21/2021
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