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HOLIDAY CVS, L.L.C.
STD32714 Community Care Resources Inc
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Covered Entity Details
Entity Name
Community Care Resources Inc
Subdivision Name
Community Care Resources of FL
Type
Sexually Transmitted Diseases
340B ID
STD32714
Entity Address
106 Boston Avenue
Suite 204
Altamonte Springs, FL 32701
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03630
16850 COLLINS AVE UNIT #101
SUNNY ISLES BEACH, FL 33160
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Victoria Barnhart, CEO
(754) 210-2735
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/1/2022
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