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HOLIDAY CVS, L.L.C.
STD33139 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
South Beach
Type
Sexually Transmitted Diseases
340B ID
STD33139
Entity Address
427 Washington Avenue
Miami Beach, FL 33139
Grant Number
1 NH25PS005131-01-00
Participating Start Date
4/1/2017
Last Recertification Date
5/27/2024
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
7/16/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/16/2023
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