Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
STD323045 Boxton Cares, Inc.

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

DBA: CVS/PHARMACY # 04024
5466 THOMASVILLE RD N
TALLAHASSEE, FL 32312

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

340B Drug Pricing Program Database