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HOLIDAY CVS, L.L.C.
STD3474110 Nuhealth Initiative inc
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Covered Entity Details
Entity Name
Nuhealth Initiative inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD3474110
Entity Address
1020 Mann St
kissimmee, FL 34741
Grant Number
NH25PS005131
Participating Start Date
4/1/2025
Last Recertification Date
5/13/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02761
5308 W. IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL 34746
Pharmacy Comments
Contract Details
Approval Date
2/20/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Ortiz, VP
(407) 879-5883
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2025
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