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HOLIDAY CVS, L.L.C.
RWI914031 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER - VALLEY
Type
Ryan White Part A
340B ID
RWI914031
Entity Address
4940 VAN NUYS BLVD.
SUITE 200
SHERMAN OAKS, CA 91403
Grant Number
H89HA00016
Participating Start Date
7/1/2005
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17268
3401 N MIAMI AVE STE 100
MIAMI, FL 33127
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
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
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