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HOLIDAY CVS, L.L.C.
CAH101305-00 GEORGE E. WEEMS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
GEORGE E. WEEMS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH101305-00
Entity Address
135 AVE. G
APALACHICOLA, FL 32320
Medicare Provider Number
101305
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05069
2668 CRAWFORDVILLE HWY
CRAWFORDVILLE, FL 32327
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Walker, CEO
(850) 653-8853 Ext: 101
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2021
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