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HOLIDAY CVS, L.L.C.
FQHCLA319 COMMUNITY MEDICAL AND DENTAL CARE, INC
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Covered Entity Details
Entity Name
COMMUNITY MEDICAL AND DENTAL CARE, INC
Subdivision Name
Monsey Family Medical Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA319
Entity Address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Grant Number
LALCS00146
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04987
2175 MAIN ST.
DUNEDIN, FL 34698
Pharmacy Comments
Contract Details
Approval Date
7/4/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mendel Hoffman, CEO
(845) 352-6800 Ext: 3812
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/4/2024
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