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HOLIDAY CVS, L.L.C.
STD337131 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
St. Pete
Type
Sexually Transmitted Diseases
340B ID
STD337131
Entity Address
3251 3rd Ave. North, Suite 125
St. Petersburg, FL 33713
Grant Number
1 NH25PS005131-01-00
Participating Start Date
1/1/2016
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03463
8905 BRYAN DAIRY RD
LARGO, FL 33777
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
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