Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
CH044310 MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER

Type

HRSA-Funded Health Center

340B ID

CH044310

Entity Address

12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410

Grant Number

H80CS00097

Participating Start Date

12/1/1992

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

CVS PHARMACY # 16211
1400A TAMIAMI TRL
PORT CHARLOTTE, FL 33948

Pharmacy Comments

Contract Details

Approval Date

1/14/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Linda Anne Snyder, Chief Compliance Officer/VP Government Affairs,HR
(941) 304-7975

Contract Pharmacy Representative

CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118

Signed By Date

1/14/2021

340B Drug Pricing Program Database