Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
STD32534 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Pensacola

Type

Sexually Transmitted Diseases

340B ID

STD32534

Entity Address

8390 N Palafox St.
Pensacola, FL 32534

Grant Number

1 NH25PS005131-01-00

Participating Start Date

7/1/2020

Last Recertification Date

5/27/2024

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03283
6888 N 9TH AVE
PENSACOLA, FL 32504

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