340B Drug Pricing Program Database

Pharmacy Name

HOLIDAY CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00633
3090 S MONROE ST
TALLAHASSEE, FL 32301

Pharmacy Comments

Approval Date

4/4/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/1/2023
Pharmacy closed

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

4/4/2018