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HOLIDAY CVS, L.L.C.
STD334451 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
STD334451
Entity Address
14000 S Military Trail
STE 110
DELRAY BEACH, FL 33484
Grant Number
NH25PS005131
Participating Start Date
12/22/2020
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17484
1760 PALM BEACH LAKES BLVD
WEST PALM BEACH, FL 33401
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
Damion Baker, CEO
(561) 374-2984
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/9/2024
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