Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
STD327892 Harmony Healthcare Orlando, Inc.

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

5/7/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00521
2201 EDGEWATER DR
ORLANDO, FL 32804

Pharmacy Comments

Contract Details

Approval Date

10/12/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/14/2021
OPA Terminated due to audit finding

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

10/12/2021

340B Drug Pricing Program Database