Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
RWI33316D CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

South Beach

Type

Ryan White Part A

340B ID

RWI33316D

Entity Address

427 Washington Ave
Miami Beach, FL 33139

Grant Number

H89HA00005

Participating Start Date

7/1/2020

Last Recertification Date

3/10/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00588
4801 SW 8TH ST
MIAMI, FL 33134

Pharmacy Comments

Contract Details

Approval Date

7/18/2022

Contract Begin Date

10/1/2022

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

7/18/2022

340B Drug Pricing Program Database