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HOLIDAY CVS, L.L.C.
STD33301 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
Broward Wellness Center
Type
Sexually Transmitted Diseases
340B ID
STD33301
Entity Address
750 SE 3rd Ave.
1st Floor
FORT LAUDERDALE, FL 33316
Grant Number
NH25PS005131
Participating Start Date
7/1/2013
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00410
2150 EAST COMMERCIAL BLVD
FORT LAUDERDALE, FL 33308
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
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
4/12/2024
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