340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLIDAY CVS, L.L.C.
STD330302 Mani Medical Center
Print
Covered Entity Details
Entity Name
Mani Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330302
Entity Address
151 NW 11th Street
W303
Homestead, FL 33030
Grant Number
NH25PS005131
Participating Start Date
12/7/2021
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08000
24799 SW 112TH AVE.
HOMESTEAD, FL 33032
Pharmacy Comments
Contract Details
Approval Date
10/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Taylor, CEO/Present
(954) 854-7475
Contract Pharmacy Representative
wellpartner
Crissy Levisay, Account Manager
(239) 322-4188
Signed By Date
10/2/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session