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HOLIDAY CVS, L.L.C.
STD33990 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Cape Coral
Type
Sexually Transmitted Diseases
340B ID
STD33990
Entity Address
1224 Del Prado Blvd. S.
Suite A
Cape Coral, FL 33990-3670
Grant Number
NU62PS924532
Participating Start Date
1/1/2022
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09996
6391 BAYSHORE RD.
NORTH FORT MYERS, FL 33917
Pharmacy Comments
Contract Details
Approval Date
7/16/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/24/2024
Pharmacy closed
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
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