340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLIDAY CVS, L.L.C.
STD33166 ADVANCE MDCARE COMMUNITY CLINIC INC
Print
Covered Entity Details
Entity Name
ADVANCE MDCARE COMMUNITY CLINIC INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33166
Entity Address
290 Wesward Drive
Miami Springs, FL 33166
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 # 10131
2393 SW 67TH AVE.
MIAMI, FL 33155
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
DELIA KENNEDY, AUTHORIZED USER
(786) 556-1397
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2024
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