Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
CH04805A BOND COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

BOND COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Bond Community Health Center (Main Site)

Type

HRSA-Funded Health Center

340B ID

CH04805A

Entity Address

1720 S. Gadsden Street
Tallahassee, FL 32301-5506

Grant Number

H80CS28957

Participating Start Date

1/1/2016

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03624
1208 W. JEFFERSON ST.
QUINCY, FL 32351

Pharmacy Comments

Contract Details

Approval Date

1/3/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Temple O. Robinson, CEO
(850) 576-4073 Ext: 207

Contract Pharmacy Representative

CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118

Signed By Date

1/3/2019

340B Drug Pricing Program Database