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HOLIDAY CVS, L.L.C.
CHC26590-00 Empower U, Incorporated
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Covered Entity Details
Entity Name
Empower U, Incorporated
Subdivision Name
EMPOWER U CHC AT NORTHSIDE SHOPPING PLAZA
Type
HRSA-Funded Health Center
340B ID
CHC26590-00
Entity Address
7900 NW 27 AVE
E12
MIAMI, FL 33147-4909
Grant Number
H80CS26590
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04032
855 E 8TH AVE
HIALEAH, FL 33010
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
Belita Eloise Wyatt, Chief Executive Officer
(786) 512-6598
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2023
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