Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
RWII342371 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Tuttle

Type

Ryan White Part B

340B ID

RWII342371

Entity Address

1231 N. TUTTLE AVE
SARASOTA, FL 34237

Grant Number

X07HA00057

Participating Start Date

4/5/2011

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05859
3813 MANATEE AVE. WEST
BRADENTON, FL 34205

Pharmacy Comments

Contract Details

Approval Date

7/16/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

7/16/2023

340B Drug Pricing Program Database