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HOLIDAY CVS, L.L.C.
STD33168 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
North Miami
Type
Sexually Transmitted Diseases
340B ID
STD33168
Entity Address
18360 NW 47th Ave
Miami Gardens, FL 33055
Grant Number
1 NH25PS005131-01-00
Participating Start Date
7/1/2016
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 976
1177 SW 8TH ST.
MIAMI, FL 33130
Pharmacy Comments
Contract Details
Approval Date
7/26/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/26/2024
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