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HOLIDAY CVS, L.L.C.
STD33544 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Wesley Chapel
Type
Sexually Transmitted Diseases
340B ID
STD33544
Entity Address
5504 Gateway Blvd
Wesley Chapel, FL 33544
Grant Number
1 NH25PS005131-01-00
Participating Start Date
4/1/2016
Last Recertification Date
6/3/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03661
2401 SW 27TH AVE.
OCALA, FL 34471
Pharmacy Comments
Contract Details
Approval Date
7/27/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/27/2024
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