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HOLIDAY CVS, L.L.C.
RWI33316G CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Clearwater
Type
Ryan White Part A
340B ID
RWI33316G
Entity Address
2349 Sunset Point
404
Clearwater, FL 33765
Grant Number
H89HA00024
Participating Start Date
10/1/2024
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03260
7325 STATE ROAD 54
NEW PORT RICHEY, FL 34653
Pharmacy Comments
Contract Details
Approval Date
8/19/2024
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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