340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03270
924 RINEHART RD.
LAKE MARY, FL 32746

Pharmacy Comments

Approval Date

4/15/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Juan Rodriguez, Executive Director
(407) 761-3361

Contract Pharmacy Representative

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

Signed By Date

4/15/2019