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HOLIDAY CVS, L.L.C.
CH041281AN Tampa Family Health Centers, Inc.
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Covered Entity Details
Entity Name
Tampa Family Health Centers, Inc.
Subdivision Name
TFHC MLK II (West Tampa)
Type
HRSA-Funded Health Center
340B ID
CH041281AN
Entity Address
2727 W Dr Martin Luther King Jr Blvd STE 100
Tampa, FL 33607-6353
Grant Number
H80CS00407
Participating Start Date
1/1/2023
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03628
5632 GUNN HWY
TAMPA, FL 33624
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/28/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sherry Hoback, Chief Executive Officer
(813) 866-0930 Ext: 1319
Contract Pharmacy Representative
Wellpartner
Amy Mellody, Account Manager
(817) 228-9752
Signed By Date
1/15/2024
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