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HOLIDAY CVS, L.L.C.
STD33004 Doctors United Group Inc
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Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Dania Beach
Type
Sexually Transmitted Diseases
340B ID
STD33004
Entity Address
329 South Federal Highway
Dania Beach, FL 33004
Grant Number
NH25PS004342
Participating Start Date
12/12/2023
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03756
2391 W. 68TH ST.
HIALEAH, FL 33016
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Khadijah Carbon, Vice President
(305) 879-9749
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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