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CAREMARK, L.L.C.
STD331662 ADVANCE MD CARE INC
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Covered Entity Details
Entity Name
ADVANCE MD CARE INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331662
Entity Address
294 Westward Drive
Miami Springs, FL 33166
Grant Number
NH25PS004342
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
8/27/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DELIA KENNEDY, COO AND DIRECTOR
(786) 556-1397
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2024
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