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HOLIDAY CVS, L.L.C.
STD327921 Hope and Help Center of Central Florida, Inc
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc
Subdivision Name
Hope and Help Center of Central Florida, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD327921
Entity Address
4122 Metric Dr.
Suite 800
Winter Park, FL 32792-6809
Grant Number
NU62PS924741
Participating Start Date
4/1/2017
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07973
4500 PLEASANT HILL RD.,
KISSIMMEE, FL 34746
Pharmacy Comments
Contract Details
Approval Date
1/12/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
1/12/2022
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