340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05025
1875 CAPITAL CIR NE
TALLAHASSEE, FL 32308

Pharmacy Comments

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

WILLIAM A. GIUDICE, CHIEF FINANCIAL OFFICER
(850) 431-5238

Contract Pharmacy Representative

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

Signed By Date

4/14/2022