340B Drug Pricing Program Database
HOLIDAY CVS, L.L.C. - information as of 5/20/2025 1:58:22 AM
Export
Name
HOLIDAY CVS, L.L.C.
Address
DBA: CVS/PHARMACY # 03648
3634 ROGERO RD
JACKSONVILLE, FL 32277
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
HV01312
University of Florida
University of Florida CARES Rainbow
Ryan White Part C
655 W. 8th St. 3rd FL
Jacksonville
FL
04/20/2022
4/20/2022 3:37 PM
Details
HV013122
GATEWAY COMMUNITY SERIVES, INC
Ryan White Part C
555 Stockton Street
Jacksonville
FL
04/20/2022
01/01/2023
1/1/2023 12:01 AM
Details
HV01312A
University of Florida CARES
University of Florida CARES Emerson
Ryan White Part C
4555 Emerson Street
Jacksonville
FL
04/20/2022
01/01/2023
1/1/2023 12:01 AM
Details
HV01312C
University of Florida CARES
University of Florida CARES Beaches
Ryan White Part C
570 Jacksonville Dr.
Jacksonville Beach
FL
04/20/2022
01/01/2023
1/1/2023 12:01 AM
Details
HV01312E
University of Florida
University of Florida CARES CMS
Ryan White Part C
910 N. Jefferson St.
Jacksonville
FL
04/20/2022
4/20/2022 3:51 PM
Details
HV01312F
University of Florida
UF Health Family Medicine-Commonwealth
Ryan White Part C
761 Edgewood Ave N
Jacksonville
FL
10/01/2023
10/1/2023 12:01 AM
Details
RW400091
University of Florida
University of Florida CARES Rainbow
Ryan White Part D
655 W. 8th Street 3rd FL
Jacksonville
FL
04/21/2022
4/21/2022 9:00 AM
Details
RW400091A
University of Florida CARES
University of Florida CARES Beaches
Ryan White Part D
570 Jacksonville Dr.
Jacksonville
FL
04/21/2022
01/01/2023
1/1/2023 12:01 AM
Details
RW400091C
University of Florida CARES
University of Florida CARES Emerson
Ryan White Part D
4555 Emerson St.
Jacksonville
FL
04/21/2022
01/01/2023
1/1/2023 12:01 AM
Details
RW400091D
University of Florida
University of Florida CARES CMS
Ryan White Part D
910 N. Jefferson Street
Jacksonville
FL
04/21/2022
4/21/2022 12:33 PM
Details
RW400091E
University of Florida
UF Health Women's Specialist-Jacksonville
Ryan White Part D
655 W. 8th Street 3rd Fl ACC Bldg.
Jacksonville
FL
10/01/2023
10/1/2023 12:01 AM
Details
RW400091F
University of Florida
UF Health Family Medicine-Commonwealth
Ryan White Part D
761 Edgewood Ave N
Jacksonville
FL
10/01/2023
10/1/2023 12:01 AM
Details
RW4248241
Gateway Community Services, Inc
Ryan White Part D
555 Stockton St.
Jacksonville
FL
04/21/2022
01/01/2023
1/1/2023 12:01 AM
Details
STD322023
FIRST COAST COMMUNITY DEVELOPMENT, INC
Sexually Transmitted Diseases
525 N. Newnan Street
Jacksonville
FL
10/01/2022
06/21/2024
6/21/2024 10:23 AM
Details
STD322075
CAN Community Health, Inc.
Jacksonville
Sexually Transmitted Diseases
4615 Philips Highway
Suite 3
Jacksonville
FL
07/01/2020
7/1/2020 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 # 03648 3634 ROGERO RD JACKSONVILLE, FL 32277
3/28/2013 4:10 PM
Details
Name
Insert
HOLIDAY CVS, L.L.C.
3/28/2013 4:10 PM
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