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HOLIDAY CVS, L.L.C.
CH045289N ESCAMBIA COMMUNITY CLINICS, INC.
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Covered Entity Details
Entity Name
ESCAMBIA COMMUNITY CLINICS, INC.
Subdivision Name
Century Adult and Family Care
Type
HRSA-Funded Health Center
340B ID
CH045289N
Entity Address
6021 Industrial Blvd.
Century, FL 32535-3312
Grant Number
H80CS08755
Participating Start Date
1/1/2018
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04027
8361 N CENTURY BLVD
CENTURY, FL 32535
Pharmacy Comments
Contract Details
Approval Date
4/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Contract Pharmacy Representative
Escambia Community Clinics, Inc.
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Signed By Date
4/6/2023
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