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HOLIDAY CVS, L.L.C.
RWI33316A CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Jax
Type
Ryan White Part A
340B ID
RWI33316A
Entity Address
4615 Philips Highway
Suite 3
Jacksonville, FL 32207
Grant Number
H89HA00039
Participating Start Date
10/1/2017
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04422
201 SOUTH SR 19
PALATKA, FL 32177
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2019
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