340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

CVS PHARMACY # 16436
3625 W GANDY BLVD
TAMPA, FL 33611

Pharmacy Comments

Approval Date

5/15/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Patrick Whiteside, Chief Executive Officer
(866) 773-7305 Ext: 100

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/12/2024