Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
STD33024 Alpha Omega Alliance Inc

Covered Entity Details

Entity Name

Alpha Omega Alliance Inc

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD33024

Entity Address

2800 E Commercial Blvd
Suite 210
Ft Lauderdale, FL 33308

Grant Number

NH25PS005131

Participating Start Date

12/4/2019

Last Recertification Date

5/15/2024

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

CVS/PHARMACY # 5966
1600 S FEDERAL HIGHWAY
HOLLYWOOD, FL 33020

Pharmacy Comments

Contract Details

Approval Date

6/30/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Colin C Conner II, CEO
(407) 924-7620

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

6/30/2021

340B Drug Pricing Program Database