Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
STD339011 The McGregor Clinic, Inc.

Covered Entity Details

Entity Name

The McGregor Clinic, Inc.

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD339011

Entity Address

3487 Broadway
Fort Myers, FL 33901

Grant Number

NH25PS004342

Participating Start Date

7/1/2018

Last Recertification Date

5/13/2024

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

CVS PHARMACY # 16265
13711 S TAMIAMI TRL
FORT MYERS, FL 33912

Pharmacy Comments

Contract Details

Approval Date

4/8/2022

Contract Begin Date

4/13/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

SUSAN GERALD, Chief Operations Officer
(239) 334-9555 Ext: 8019

Contract Pharmacy Representative

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

Signed By Date

4/8/2022

340B Drug Pricing Program Database