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HOLIDAY CVS, L.L.C.
CH04025L PROJECT HEALTH INC-DBA
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Covered Entity Details
Entity Name
PROJECT HEALTH INC-DBA
Subdivision Name
Langley Health Services - Homosassa
Type
HRSA-Funded Health Center
340B ID
CH04025L
Entity Address
7945 S Suncoast Blvd STE A-B
Homosassa, FL 34446-5005
Grant Number
H80CS00412
Participating Start Date
7/1/2023
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03639
420 N MAIN ST
BUSHNELL, FL 33513
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John M. Sivon, Chief Strategy Officer
(352) 569-2386
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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