340B Drug Pricing Program Database
HOLIDAY CVS, L.L.C. - information as of 5/28/2025 12:15:39 AM
Export
Name
HOLIDAY CVS, L.L.C.
Address
DBA: CVS/PHARMACY # 03614
3422 S ATLANTIC AVE
DAYTONA BEACH SHORES, FL 32118
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CAH361323-00
Aultman Orrville Hospital
Critical Access Hospital
832 SOUTH MAIN STREET
ORRVILLE
OH
10/01/2021
10/1/2021 12:01 AM
Details
CH0423770
NORTHEAST FLORIDA HEALTH SERVICES, INC.
PIERSON Family Health Source
HRSA-Funded Health Center
216 N. FREDERICK ST.
PIERSON
FL
04/01/2021
4/1/2021 12:01 AM
Details
DSH070036
UCONN HEALTH
JOHN DEMPSEY HOSPITAL
Disproportionate Share Hospital
263 FARMINGTON AVENUE
GPS/Patient way-finding: 100 Hospital Drive
FARMINGTON
CT
01/01/2022
1/1/2022 12:01 AM
Details
DSH100017
HALIFAX HEALTH MEDICAL CENTER
Disproportionate Share Hospital
303 N CLYDE MORRIS BLVD
DAYTONA BEACH
FL
07/01/2013
10/06/2017
10/11/2017 2:15 PM
Details
HV46010
CAN Community Health, Inc.
Daytona Beach
Ryan White Part C
1125 N. Nova Rd
Daytona Beach
FL
10/01/2024
10/1/2024 12:01 AM
Details
RWII32117
CAN Community Health, Inc.
Daytona
Ryan White Part B
1125 N. Nova Rd.
Daytona Beach
FL
10/01/2024
10/1/2024 12:01 AM
Details
STD32114
CAN Community Health, Inc.
Daytona
Sexually Transmitted Diseases
1125 N. Nova Rd.
Daytona Beach
FL
10/01/2024
10/1/2024 12:01 AM
Details
STD33024
Alpha Omega Alliance Inc
Sexually Transmitted Diseases
2800 E Commercial Blvd
Suite 210
Ft Lauderdale
FL
07/01/2021
7/1/2021 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:10 PM
Details
Is Deleted
Insert
False
3/28/2013 4:10 PM
Addresses
Pharmacy Address
Insert
HOLIDAY CVS, L.L.C. DBA: CVS/PHARMACY # 03614 3422 S ATLANTIC AVE DAYTONA BEACH SHORES, FL 32118
3/28/2013 4:10 PM
Details
Name
Insert
HOLIDAY CVS, L.L.C.
3/28/2013 4:10 PM
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