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HOLIDAY CVS, L.L.C.
STD329221 Specialized Treatment Education and Prevention Services, Inc
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Covered Entity Details
Entity Name
Specialized Treatment Education and Prevention Services, Inc
Subdivision Name
STEPS Cocoa
Type
Sexually Transmitted Diseases
340B ID
STD329221
Entity Address
803 N. Fiske Blvd
Cocoa, FL 32922
Grant Number
H25PS005131
Participating Start Date
4/1/2022
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03920
100 INTERNATIONAL PKWY STE 130
HEATHROW, FL 32746
Pharmacy Comments
Contract Details
Approval Date
7/5/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cheryl Bello, Executive Director
(407) 522-2144
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/5/2022
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