340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOLIDAY CVS, L.L.C.
RW400091B University of Florida
Print
Covered Entity Details
Entity Name
University of Florida
Subdivision Name
University of Florida CARES Daytona Beach
Type
Ryan White Part D
340B ID
RW400091B
Entity Address
1219 Dunne Ave.
Daytona Beach, FL 32114
Grant Number
H12HA24824
Participating Start Date
7/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02856
9100 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Pharmacy Comments
Contract Details
Approval Date
4/6/2022
Contract Begin Date
4/21/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/29/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Tina M. Bottini, Senior Asst. Dean, Research
(904) 244-9478
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/6/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session