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HOLIDAY CVS, L.L.C.
STD330301 FLORIMED MEDICAL CENTER
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Covered Entity Details
Entity Name
FLORIMED MEDICAL CENTER
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330301
Entity Address
311 N.E. 8 STREET
SUITE 110
HOMESTEAD, FL 33030
Grant Number
NH25P5004342
Participating Start Date
8/26/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY #17850
2551 NE 9TH CT.
HOMESTEAD, FL 33033
Pharmacy Comments
Contract Details
Approval Date
7/15/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tomas Wharton, CEO
(305) 834-9942
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2023
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