340B Drug Pricing Program Database

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HOLIDAY CVS, L.L.C.
STD336141 CAN Community Health, Inc.

Covered Entity Details

Habana
Sexually Transmitted Diseases
STD336141
4729 N Habana Ave
Tampa, FL 33614
1 NH25PS005131-01-00
4/1/2016
5/27/2024


Pharmacy Details

DBA: CVS/PHARMACY # 04640
15499 N DALE MABRY HWY
TAMPA, FL 33618

Contract Details

1/22/2019
4/1/2019

1/17/2023
Pharmacy closed


Contacts


Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111



CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
1/22/2019