Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
CHC28344-01 BANYAN COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

BANYAN COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Banyan Community Health Center 3850 Miami

Type

HRSA-Funded Health Center

340B ID

CHC28344-01

Entity Address

3850 W FLAGLER ST
MIAMI, FL 33134-1604

Grant Number

H80CS28344

Participating Start Date

1/1/2016

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03287
850 W SAMPLE RD
POMPANO BEACH, FL 33064

Pharmacy Comments

Contract Details

Approval Date

1/15/2025

Contract Begin Date

4/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Gabriela Gutierrez, VP of Integrated Outpatient Services
(786) 239-1846

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/15/2025

340B Drug Pricing Program Database