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HOLIDAY CVS, L.L.C.
FQHCLA356D WHOLE FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
WHOLE FAMILY HEALTH CENTER, INC.
Subdivision Name
Whole Family Health Center Behavioral Health
Type
Health Center Program Look-Alike
340B ID
FQHCLA356D
Entity Address
3723 10th Ct
Vero Beach, FL 32960-6559
Grant Number
LALCS31468
Participating Start Date
7/1/2024
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00111
1891 N. US HWY 1
FORT PIERCE, FL 34946
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marie Andress, CEO
(772) 925-8200
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/9/2024
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