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HOLIDAY CVS, L.L.C.
STD334042 WellView Care, Inc
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Covered Entity Details
Entity Name
WellView Care, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334042
Entity Address
3514 Broadway
Riviera Beach, FL 33404
Grant Number
NH25PS005131
Participating Start Date
1/1/2023
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00410
2150 EAST COMMERCIAL BLVD
FORT LAUDERDALE, FL 33308
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adolfo Lorenzo, President
(305) 491-3600
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2023
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