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HOLIDAY CVS, L.L.C.
CH049070 COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - Johnnie Ruth Clarke
Type
HRSA-Funded Health Center
340B ID
CH049070
Entity Address
1344 22nd St S
Saint Petersburg, FL 33712-2744
Grant Number
H80CS00463
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00139
6820 GULFPORT BLVD S
SOUTH PASADENA, FL 33707
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elodie Leigh Dorso, CEO
(727) 824-8100
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/9/2024
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