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HOLIDAY CVS, L.L.C.
STD334094 Monarch Health Services Inc
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Covered Entity Details
Entity Name
Monarch Health Services Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334094
Entity Address
624 South Main Street
Suite 2
Suite # 2A
Belle Glade, FL 33430
Grant Number
NH25PS004342
Participating Start Date
10/1/2023
Last Recertification Date
5/31/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05112
101 SOUTH MAIN STREET
BELLE GLADE, FL 33430
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Damion Baker, CEO
(561) 374-2984
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/2/2024
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