340B Drug Pricing Program Database


HOLIDAY CVS, L.L.C. - information as of 5/20/2025 1:16:29 AM


HOLIDAY CVS, L.L.C.

DBA: CVS/PHARMACY # 03106
1625 FOURAKER ROAD
JACKSONVILLE, FL 32221



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC26592-00Coastal Community Health Services, Inc.Coastal Community Health ServicesHRSA-Funded Health Center106 Shoppers Way, Unit 1
BrunswickGA07/01/2025 4/14/2025 11:42 AM
DetailsDSH100307ASCENSION ST. VINCENTS SOUTHSIDE HO Disproportionate Share Hospital4201 BELFORT ROAD
JACKSONVILLEFL01/31/2025 1/31/2025 9:24 AM
DetailsHV01312University of FloridaUniversity of Florida CARES RainbowRyan White Part C655 W. 8th St. 3rd FL
JacksonvilleFL04/20/2022 4/20/2022 3:37 PM
DetailsHV013122GATEWAY COMMUNITY SERIVES, INC Ryan White Part C555 Stockton Street
JacksonvilleFL04/20/202201/01/20231/1/2023 12:01 AM
DetailsHV01312AUniversity of Florida CARESUniversity of Florida CARES EmersonRyan White Part C4555 Emerson Street
JacksonvilleFL04/20/202201/01/20231/1/2023 12:01 AM
DetailsHV01312CUniversity of Florida CARESUniversity of Florida CARES BeachesRyan White Part C570 Jacksonville Dr.
Jacksonville BeachFL04/20/202201/01/20231/1/2023 12:01 AM
DetailsHV01312EUniversity of FloridaUniversity of Florida CARES CMSRyan White Part C910 N. Jefferson St.
JacksonvilleFL04/20/2022 4/20/2022 3:51 PM
DetailsHV01312FUniversity of FloridaUF Health Family Medicine-CommonwealthRyan White Part C761 Edgewood Ave N
JacksonvilleFL10/01/2023 10/1/2023 12:01 AM
DetailsRRC100307-00ST. VINCENTS MEDICAL CENTER SOUTHSID Rural Referral Center4201 BELFORT ROAD
JACKSONVILLEFL10/01/202104/01/20254/1/2025 12:01 AM
DetailsRW400091University of FloridaUniversity of Florida CARES RainbowRyan White Part D655 W. 8th Street 3rd FL
JacksonvilleFL04/21/2022 4/21/2022 9:00 AM
DetailsRW400091AUniversity of Florida CARESUniversity of Florida CARES BeachesRyan White Part D570 Jacksonville Dr.
JacksonvilleFL04/21/202201/01/20231/1/2023 12:01 AM
DetailsRW400091BUniversity of FloridaUniversity of Florida CARES Daytona BeachRyan White Part D1219 Dunne Ave.
Daytona BeachFL04/21/2022 4/21/2022 12:23 PM
DetailsRW400091CUniversity of Florida CARESUniversity of Florida CARES EmersonRyan White Part D4555 Emerson St.
JacksonvilleFL04/21/202201/01/20231/1/2023 12:01 AM
DetailsRW400091DUniversity of FloridaUniversity of Florida CARES CMSRyan White Part D910 N. Jefferson Street
JacksonvilleFL04/21/2022 4/21/2022 12:33 PM
DetailsRW400091EUniversity of FloridaUF Health Women's Specialist-JacksonvilleRyan White Part D655 W. 8th Street 3rd Fl ACC Bldg.
JacksonvilleFL10/01/2023 10/1/2023 12:01 AM
DetailsRW400091FUniversity of FloridaUF Health Family Medicine-CommonwealthRyan White Part D761 Edgewood Ave N
JacksonvilleFL10/01/2023 10/1/2023 12:01 AM
DetailsRW4248241Gateway Community Services, Inc Ryan White Part D555 Stockton St.
JacksonvilleFL04/21/202201/01/20231/1/2023 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate HOLIDAY CVS, L.L.C. DBA: CVS/PHARMACY # 03106 7953 NORMANDY BLVD JACKSONVILLE, FL 32221HOLIDAY CVS, L.L.C. DBA: CVS/PHARMACY # 03106 1625 FOURAKER ROAD JACKSONVILLE, FL 3222112/3/2015 9:32 AM
DetailsCommentsInsert   3/28/2013 4:10 PM
DetailsIs DeletedInsert  False3/28/2013 4:10 PM
AddressesPharmacy AddressInsert  HOLIDAY CVS, L.L.C. DBA: CVS/PHARMACY # 03106 7953 NORMANDY BLVD JACKSONVILLE, FL 322213/28/2013 4:10 PM
DetailsNameInsert  HOLIDAY CVS, L.L.C.3/28/2013 4:10 PM