Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
STD342372 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Sarasota

Type

Sexually Transmitted Diseases

340B ID

STD342372

Entity Address

1231 N. Tuttle Ave
Sarasota, FL 34237

Grant Number

1 NH25PS005131-01-00

Participating Start Date

1/1/2016

Last Recertification Date

5/27/2024

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 01810
2811 CLARK RD
SARASOTA, FL 34231

Pharmacy Comments

Contract Details

Approval Date

1/19/2022

Contract Begin Date

4/1/2022

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

1/19/2022

340B Drug Pricing Program Database