340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

CVS PHARMACY # 17353
4727 HWY 90
PACE, FL 32571

Pharmacy Comments

Approval Date

4/16/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Susan Cornejo, Chief Operating Officer
(850) 416-6206

Contract Pharmacy Representative

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

Signed By Date

4/16/2021