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HOLIDAY CVS, L.L.C.
STD337104 A Healthy Dose Foundation, Inc.
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Covered Entity Details
Entity Name
A Healthy Dose Foundation, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337104
Entity Address
6812 22nd Avenue North
St. Petersburg, FL 33710
Grant Number
NH25PS005131
Participating Start Date
7/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00149
294 37TH AVE N
SAINT PETERSBURG, FL 33704
Pharmacy Comments
Contract Details
Approval Date
10/4/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brittney Roy, President
(727) 463-2477
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/4/2024
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