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HOLIDAY CVS, L.L.C.
STD339011 The McGregor Clinic, Inc.
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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
NH25PS005131
Participating Start Date
7/1/2018
Last Recertification Date
6/2/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09996
6391 BAYSHORE RD.
NORTH FORT MYERS, FL 33917
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
10/18/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2024
Pharmacy closed
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
10/12/2022
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