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HOLIDAY CVS, L.L.C.
STD32534 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Pensacola
Type
Sexually Transmitted Diseases
340B ID
STD32534
Entity Address
8390 N Palafox St.
Pensacola, FL 32534
Grant Number
1 NH25PS005131-01-00
Participating Start Date
7/1/2020
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05158
5301 N PALAFOX ST
PENSACOLA, FL 32505
Pharmacy Comments
Contract Details
Approval Date
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2021
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