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HOLIDAY CVS, L.L.C.
STD333192 IMG Helps Inc
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Covered Entity Details
Entity Name
IMG Helps Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD333192
Entity Address
6470 NW 5th Way
Fort Lauderdale, FL 33309
Grant Number
NU62PS924633f
Participating Start Date
7/1/2021
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04797
4550 LYONS RD.
COCONUT CREEK, FL 33073
Pharmacy Comments
Contract Details
Approval Date
7/14/2024
Contract Begin Date
8/12/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Vixamar, COO
(954) 529-1178
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2024
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