Contract Pharmacy Details

HOLIDAY CVS, L.L.C.
CH044310 MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER

Type

HRSA-Funded Health Center

340B ID

CH044310

Entity Address

12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410

Grant Number

H80CS00097

Participating Start Date

12/1/1992

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03111
945 8TH AVE W
PALMETTO, FL 34221

Pharmacy Comments

Contract Details

Approval Date

10/14/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

WALTER L. PRESHA, CEO
(941) 776-4000

Contract Pharmacy Representative

CVS
Christian Reid, 340B Program Director, CVS Pharmacy
(401) 770-2118

Signed By Date

10/14/2016

340B Drug Pricing Program Database