340B Drug Pricing Program Database
HOLIDAY CVS, L.L.C.
CH040340 RURAL HEALTH CARE, INCORPORATED - information as of 6/27/2025 12:43:24 AM
Covered Entity Details
Entity Name
RURAL HEALTH CARE, INCORPORATED
Subdivision Name
AZA HEALTH
Type
HRSA-Funded Health Center
340B ID
CH040340
Entity Address
1302 River St
Palatka, FL 32177-5042
Grant Number
H80CS00081
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05912
1891 LPGA BLVD.
DAYTONA BEACH, FL 32117
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura M. Spencer, CEO
(386) 328-0108 Ext: 3340
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2025
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