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HOLIDAY CVS, L.L.C.
STD329351 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-Mel
Type
Sexually Transmitted Diseases
340B ID
STD329351
Entity Address
2102 Sarno Road
Melbourne, FL 32935
Grant Number
H25PS005131
Participating Start Date
4/1/2022
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07219
277 W. SR 436
ALTAMONTE SPRINGS, FL 32714
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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