Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
RWI33308 AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center - North Point

Type

Ryan White Part A

340B ID

RWI33308

Entity Address

6333 N. Federal Highway
Suite 302
Fort Lauderdale, FL 33308

Grant Number

H89HA00002

Participating Start Date

1/1/2013

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02804
645 UNIVERSITY DR.
CORAL SPRINGS, FL 33071

Pharmacy Comments

Contract Details

Approval Date

1/16/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/20/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

Contract Pharmacy Representative

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

Signed By Date

1/16/2024

340B Drug Pricing Program Database