340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLIDAY CVS, L.L.C.
STD333083 Light of Hope, Inc.
Print
Covered Entity Details
Entity Name
Light of Hope, Inc.
Subdivision Name
Light of Hope 2
Type
Sexually Transmitted Diseases
340B ID
STD333083
Entity Address
2021 E Commercial Blvd.
205
Fort Lauderdale, FL 33308
Grant Number
NH25PS004342
Participating Start Date
1/1/2024
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02747
1802 N UNIVERSITY DRIVE
PLANTATION, FL 33322
Pharmacy Comments
Contract Details
Approval Date
1/8/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristin Renae, Vice President
(954) 776-9992
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/8/2024
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