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HOLIDAY CVS, L.L.C.
STD323045 Boxton Cares, Inc.
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Covered Entity Details
Entity Name
Boxton Cares, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD323045
Entity Address
2121 W. Pensacola St.
B2
Tallahassee, FL 32304
Grant Number
NH25PS005131
Participating Start Date
7/1/2021
Last Recertification Date
5/21/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17089
3700 BRADFORDVILLE RD
TALLAHASSEE, FL 32309
Pharmacy Comments
Contract Details
Approval Date
10/19/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randall E Box, President
(850) 528-1741
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/19/2022
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