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HOLIDAY CVS, L.L.C.
CH0452890 ESCAMBIA COMMUNITY CLINICS INC
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Covered Entity Details
Entity Name
ESCAMBIA COMMUNITY CLINICS INC
Subdivision Name
Escambia Community Clinics, Inc. Corporate Offices
Type
HRSA-Funded Health Center
340B ID
CH0452890
Entity Address
2315 West Jackson Street
PENSACOLA, FL 32505-1736
Grant Number
H80CS08755
Participating Start Date
1/1/2009
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04027
8361 N CENTURY BLVD
CENTURY, FL 32535
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Contract Pharmacy Representative
CVS Health
Kelsey Kalish, Account Manager
(347) 443-0655
Signed By Date
7/6/2020
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