Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
CHC28344-00 BANYAN COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

BANYAN COMMUNITY HEALTH CENTER, INC.

Subdivision Name

BCHC Administration Only

Type

HRSA-Funded Health Center

340B ID

CHC28344-00

Entity Address

2300 NW 89th Place
Doral, FL 33172

Grant Number

H80CS28344

Participating Start Date

1/1/2016

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05919
6900 N. UNIVERSITY DR.
TAMARAC, FL 33321

Pharmacy Comments

Contract Details

Approval Date

1/4/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Mark Aprigliano, Vice President of Administration
(305) 398-6100 Ext: 7408

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/4/2024

340B Drug Pricing Program Database