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HOLIDAY CVS, L.L.C.
CH041294A NORTH BROWARD HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
NORTH BROWARD HOSPITAL DISTRICT
Subdivision Name
SPECIALTY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH041294A
Entity Address
1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638
Grant Number
H80CS00019
Participating Start Date
10/1/1998
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07983
11300 STATE ROAD 82
FORT MYERS, FL 33905
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Romaine Kamara Layne, Chief Financial Officer
(954) 473-7431
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/10/2024
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