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HOLIDAY CVS, L.L.C.
STD327921 Hope and Help Center of Central Florida, Inc
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc
Subdivision Name
Hope and Help Center of Central Florida, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD327921
Entity Address
4122 Metric Dr.
Suite 800
Winter Park, FL 32792-6809
Grant Number
NU62PS924741
Participating Start Date
4/1/2017
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17440
120 W GRANT ST
ORLANDO, FL 32806
Pharmacy Comments
Contract Details
Approval Date
4/3/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/3/2018
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