Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
RWII342371 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Tuttle

Type

Ryan White Part B

340B ID

RWII342371

Entity Address

1231 N. TUTTLE AVE
SARASOTA, FL 34237

Grant Number

X07HA00057

Participating Start Date

4/5/2011

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 01863
3800 TAMIAMI TRL SOUTH
SARASOTA, FL 34239

Pharmacy Comments

Contract Details

Approval Date

10/15/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

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

Signed By Date

10/15/2020

340B Drug Pricing Program Database