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HOLIDAY CVS, L.L.C.
CH043823L BREVARD HEALTH ALLIANCE INC., THE
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Covered Entity Details
Entity Name
BREVARD HEALTH ALLIANCE INC., THE
Subdivision Name
BHA Malabar Clinic
Type
HRSA-Funded Health Center
340B ID
CH043823L
Entity Address
775 Malabar Rd
Malabar, FL 32950-3120
Grant Number
H80CS04213
Participating Start Date
4/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05177
1345 NORTH COURTENAY PKWY.
MERRITT ISLAND, FL 32953
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
Austin Helton, CEO
(321) 241-6854
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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