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HOLIDAY CVS, L.L.C.
STD328069 Bliss CARES
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Covered Entity Details
Entity Name
Bliss CARES
Subdivision Name
Primary Care of Gainesville, LLC
Type
Sexually Transmitted Diseases
340B ID
STD328069
Entity Address
6717 NW 11th Place
Suite B
Gainesville, FL 32605
Grant Number
NH25PS005131
Participating Start Date
10/1/2019
Last Recertification Date
5/4/2020
Entity Termination Date
11/2/2020
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05181
2303 SW 75TH ST
GAINESVILLE, FL 32607
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/2/2020
Covered Entity Terminated
Contacts
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
1/15/2020
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