340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 04494
5345 66TH ST N
SAINT PETERSBURG, FL 33709

Pharmacy Comments

Approval Date

5/15/2023

Contract Begin Date

6/12/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/25/2023
Pharmacy closed

Covered Entity Signing Official

Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2023