Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
CH041660 Community Health Centers, Inc.

Covered Entity Details

Entity Name

Community Health Centers, Inc.

Subdivision Name

COMMUNITY HEALTH CENTERS, INC.

Type

HRSA-Funded Health Center

340B ID

CH041660

Entity Address

110 S Woodland St
Winter Garden, FL 34787-3546

Grant Number

H80CS00809

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05853
13960 LANDSTAR BLVD.
ORLANDO, FL 32824

Pharmacy Comments

Contract Details

Approval Date

10/15/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MARGARET BRENNAN, PRESIDENT/CEO
(407) 905-8827 Ext: 1060

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/15/2018

340B Drug Pricing Program Database