340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05185
12255 S CLEVELAND AVE.
FORT MYERS, FL 33907

Pharmacy Comments

Approval Date

4/15/2020

Contract Begin Date

5/14/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Benjamin Spence, CFO
(239) 343-6014

Contract Pharmacy Representative

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

Signed By Date

4/15/2020