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HOLIDAY CVS, L.L.C.
STD329221 Specialized Treatment Education and Prevention Services, Inc
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Covered Entity Details
Entity Name
Specialized Treatment Education and Prevention Services, Inc
Subdivision Name
STEPS Cocoa
Type
Sexually Transmitted Diseases
340B ID
STD329221
Entity Address
803 N. Fiske Blvd
Cocoa, FL 32922
Grant Number
H25PS005131
Participating Start Date
4/1/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00204
5899 ORANGE BLOSSOM TRL
ORLANDO, FL 32839
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cheryl Bello, Executive Director
(407) 522-2144
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/10/2023
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