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HOLIDAY CVS, L.L.C.
STD330563 Optimal Health Foundation Inc
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Covered Entity Details
Entity Name
Optimal Health Foundation Inc
Subdivision Name
Optimal Health Foundation
Type
Sexually Transmitted Diseases
340B ID
STD330563
Entity Address
17235 NW 27th Avenue
Miami Gardens, FL 33056
Grant Number
NH25PS005131
Participating Start Date
4/1/2021
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05786
16550 NE 6TH AVE, NORTH
MIAMI, FL 33162
Pharmacy Comments
Contract Details
Approval Date
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristen Hollist, Program Director
(727) 463-2477
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2024
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