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HOLIDAY CVS, L.L.C.
STD32301 Big Bend Cares Inc
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Covered Entity Details
Entity Name
Big Bend Cares Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD32301
Entity Address
2201 South Monroe Street
Tallahassee, FL 32301
Grant Number
5H25PS004342
Participating Start Date
7/1/2016
Last Recertification Date
4/25/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03624
1208 W. JEFFERSON ST.
QUINCY, FL 32351
Pharmacy Comments
Contract Details
Approval Date
4/3/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert Renzi, CEO
(850) 656-2437 Ext: 240
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/3/2018
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