Covered Entity Details

STD336141 CAN Community Health, Inc. (Active) - information as of 6/27/2025 12:34:58 AM

Main Details

Name

CAN Community Health, Inc.

Subdivision Name

Habana

Type

Sexually Transmitted Diseases

340B ID

STD336141

Grant Number

1 NH25PS005131-01-00

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
Educational Brochures
3/15/2021

Additional Details

Current Program Status

Active

Registration Date

1/15/2016

Participating Start Date

4/1/2016

Participating Approval Date

3/4/2016

Last Recertification Date

6/3/2025

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Contacts

Authorizing Official

CAN Community Health, Inc.
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Primary Contact

CAN Community Health, Inc.
Hemali Joshi, SVP, Chief Data Officer
(941) 300-4440 Ext: 10161

Addresses

Street Address

4729 N Habana Ave
Tampa, FL 33614

Billing Address

CAN Community Health, Inc.
2105 N. Nebraska Ave.
Tampa, FL 33602

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

CAN Community Health Pharmacy of Clearwater
2349 Sunset Point Road
Ste 404
Clearwater, FL 33765

Shipping Address 2

CAN Community Health Pharmacy of Jacksonville
4615 Philips Hwy
Ste 3
Jacksonville, FL 32207

Shipping Address 3

CAN Community Health Pharmacy of Ft. Lauderdale
4101 NW 3rd Court
Medical Plaza
Ste 9
Plantation, FL 33317

Shipping Address 4

CAN Community Health Pharmacy of Arlington
603 Matlock Centre Cir
Arlington, TX 76015

Shipping Address 5

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
2692 Oak Ridge Ct
Fort Myers, FL 33901

Shipping Address 6

Tampa Family Pharmacy
12470 Telecom Dr
Ste 110W
Temple Terrace, FL 33637

Shipping Address 7

JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy
2105 N Nebraska Ave
Tampa, FL 33602

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	AB SPECIALTY PHARMACY INC.	2311 SEVEN SPRINGS BLVD		NEW PORT RICHEY	FL	34655	03/04/2016	04/01/2016		08/11/2016
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/25/2016	07/01/2016		08/11/2016
Contract Detail	ACCREDO HEALTH GROUP INC	201 GREAT CIRCLE ROAD		NASHVILLE	TN	37228	04/25/2016	07/01/2016	04/06/2018	04/13/2018
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/25/2016	07/01/2016		08/11/2016
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/07/2017	07/01/2017		04/07/2017
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/25/2016	07/01/2016	06/01/2023	12/11/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/25/2016	07/01/2016		08/11/2016
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/25/2016	07/01/2016		08/11/2016
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/15/2024	07/01/2024		07/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/15/2024	07/01/2024		07/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/15/2024	07/01/2024		07/01/2024
Contract Detail	BRIOVARX OF MAINE INC	DBA BRIOVARX	53 DARLING AVE	SOUTH PORTLAND	ME	04106	10/22/2018	01/01/2019	10/15/2019	10/15/2019
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/18/2016	01/01/2017		10/18/2016
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/18/2016	01/01/2017		10/18/2016
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/20/2016	01/01/2017		10/20/2016
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/18/2016	01/01/2017		10/18/2016
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/18/2016	01/01/2017		10/18/2016
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/18/2016	01/01/2017		10/18/2016
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/20/2016	01/01/2017		10/20/2016
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/20/2016	01/01/2017		10/20/2016
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/18/2016	01/01/2017		10/18/2016
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/18/2021	01/01/2022		01/01/2022
Contract Detail	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	04/15/2021	07/01/2021		07/01/2021
Contract Detail	CENTERWELL PHARMACY, INC.	10737 MARKS WAY		MIRAMAR	FL	33025	04/15/2021	07/01/2021		07/01/2021
Contract Detail	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	04/16/2024	07/01/2024		07/01/2024
Contract Detail	COMMCARE PHARMACY-FTL, LLC	855 SW 78TH AVE STE C100		PLANTATION	FL	33324-3223	07/14/2016	10/01/2016	01/01/2019	11/07/2023
Contract Detail	COMMCARE PHARMACY-MIA, LLC		1801 CORAL WAY SUITE 115	MIAMI	FL	33145-2784	07/14/2016	10/01/2016	10/21/2016	12/01/2016
Contract Detail	COMMCARE PHARMACY-WPB, LLC		1689 FORUM PLACE	WEST PALM BEACH	FL	33401	07/14/2016	10/01/2016	10/21/2016	12/01/2016
Contract Detail	Community Pharmacy Central Fill	5710 Young Pine Rd		Orlando	FL	32829	01/19/2023	04/01/2023		04/01/2023
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2345 WATERS DRIVE	MENDOTA HEIGHTS	MN	55120	01/25/2025	04/01/2025		04/01/2025
Contract Detail	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	6 SPRING MILL DR	MALVERN	PA	19355	01/25/2025	04/01/2025		04/01/2025
Contract Detail	CORAM HEALTHCARE CORPORATION OF FLORIDA	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	8508 BENJAMIN RD SUITE C	TAMPA	FL	33634-1241	04/23/2023	07/01/2023	01/17/2025	01/25/2025
Contract Detail	CRESCENT HEALTHCARE, INC.	1352 W. 15TH ST.	SUITE 8	PANAMA CITY	FL	32401-7411	04/26/2016	07/01/2016	04/15/2021	04/15/2021
Contract Detail	CRESCENT HEALTHCARE, INC.	5431 SW 35TH DR STE 200		GAINESVILLE	FL	32608	04/26/2016	07/01/2016		08/11/2016
Contract Detail	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/13/2022	07/01/2022		07/01/2022
Contract Detail	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/19/2022	04/01/2022		04/01/2022
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/18/2021	01/01/2022		01/01/2022
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/22/2019	04/01/2019		04/01/2019
Contract Detail	DIPLOMAT SPECIALTY PHARMACY	4100 S SAGINAW ST	STE D	FLINT	MI	48507-2683	04/15/2021	07/01/2021		07/01/2021
Contract Detail	EMPATH HEALTH PHARMACEUTICALS, LLC	EMPATH HEALTH PHARMACY	4703 N FLORIDA AVE	TAMPA	FL	33603	04/17/2020	07/01/2020		07/01/2020
Contract Detail	EMPATH HEALTH PHARMACEUTICALS, LLC	EMPATH HEALTH PHARMACY	PHARMACY DEPARTMENT 3050 1ST AVE S	ST PETERSBURG	FL	33712	04/17/2020	07/01/2020		07/01/2020
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/17/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/17/2020	07/01/2020		07/01/2020
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/22/2018	01/01/2019		01/01/2019
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/22/2018	01/01/2019		01/01/2019
Contract Detail	GENOA HEALTHCARE LLC	6075 BATHEY LANE, SUITE D-5		NAPLES	FL	34116	04/15/2021	07/01/2021		07/01/2021
Contract Detail	GENOA HEALTHCARE LLC	1700 EDUCATION AVE	BUILDING A, STE P	PUNTA GORDA	FL	33950	04/15/2021	07/01/2021		07/01/2021
Contract Detail	GENOA HEALTHCARE LLC	4300 SW 13TH ST, ROOM 27		GAINESVILLE	FL	32608	04/15/2021	07/01/2021		07/01/2021
Contract Detail	GEORGIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05606	104 W. FRANKLIN ST.	SYLVESTER	GA	31791	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03930	611 S HOWARD AVE	TAMPA	FL	33606	01/22/2019	04/01/2019		04/01/2019
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03650	625 W. DR. MARTIN LUTHER KING JR BLVD	TAMPA	FL	33603	01/22/2019	04/01/2019		04/01/2019
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05783	8603 WEST HILLSBOROUGH AVE	TAMPA	FL	33615	01/22/2019	04/01/2019		04/01/2019
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02875	11212 N. DALE MABRY HIGHWAY	TAMPA	FL	33618	01/22/2019	04/01/2019		04/01/2019
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04640	15499 N DALE MABRY HWY	TAMPA	FL	33618	01/22/2019	04/01/2019	01/17/2023	07/16/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04701	6701 N. DALE MABRY HWY.	TAMPA	FL	33614	01/22/2019	04/01/2019		04/01/2019
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00613	9202 N FLORIDA AVE	TAMPA	FL	33612	01/22/2019	04/01/2019	09/11/2023	04/15/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00709	1000 EAST TARPON AVE.	TARPON SPRINGS	FL	34689	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02825	715 W. BRANDON BLVD.	BRANDON	FL	33511	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03638	10623 GIBSONTON DR	RIVERVIEW	FL	33578	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05854	2187 HOWLAND BLVD.	DELTONA	FL	32738	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05815	102 S. DALE MABRY HIGHWAY	TAMPA	FL	33609	07/25/2021	10/01/2021	02/28/2024	04/15/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03204	5010 S FLORIDA AVE	LAKELAND	FL	33813	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03257	704 W MARTIN LUTHER KING JR BLVD	SEFFNER	FL	33584	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07225	5905 US HWY. 301 S.	RIVERVIEW	FL	33578	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00411	500 S 11TH ST	LAKE WALES	FL	33853	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00163	1635 BARTOW RD	LAKELAND	FL	33801	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03814	4120 HENDERSON BLVD	TAMPA	FL	33629	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17132	1544 N DALE MABRY HWY	TAMPA	FL	33607	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05207	2725 N MACDILL AVE	TAMPA	FL	33607	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00149	294 37TH AVE N	SAINT PETERSBURG	FL	33704	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02759	845 4TH ST. NORTH	SAINT PETERSBURG	FL	33701	07/25/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00651	37943 EILAND BLVD	ZEPHYRHILLS	FL	33542	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03606	10195 66TH ST. N	PINELLAS PARK	FL	33782	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03811	2502 W HILLSBOROUGH AVE	TAMPA	FL	33614	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03463	8905 BRYAN DAIRY RD	LARGO	FL	33777	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00574	8001 9TH ST N	SAINT PETERSBURG	FL	33702	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05201	403 N ALEXANDER ST	PLANT CITY	FL	33563	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00579	110 BULLARD PKWY	TEMPLE TERRACE	FL	33617	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05234	301 3RD ST S	SAINT PETERSBURG	FL	33701	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04083	51 MISSOURI AVE., NORTH	LARGO	FL	33770	07/26/2021	10/01/2021		10/01/2021
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05196	11670 COUNTRYWAY BLVD	TAMPA	FL	33626	10/12/2021	01/01/2022	06/19/2023	07/16/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02802	3102 W. GANDY BLVD.	TAMPA	FL	33611	10/12/2021	01/01/2022		01/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03520	6202 US HWY 41 N	APOLLO BEACH	FL	33572	10/18/2021	01/01/2022		01/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 06007	6206 COMMERCE PALMS DR.	TAMPA	FL	33647	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03466	5400 4TH ST N	SAINT PETERSBURG	FL	33703	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 07944	3426 CENTRAL AVE.	SAINT PETERSBURG	FL	33711	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02760	2911 E. FOWLER AVE.	TAMPA	FL	33612	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03960	3765 ULMERTON RD	CLEARWATER	FL	33762	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04362	30050 COUNTY LINE RD.	WESLEY CHAPEL	FL	33543	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05253	8801 W LINEBAUGH AVE	TAMPA	FL	33626	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00998	4401 W GANDY BLVD.	TAMPA	FL	33611	01/19/2022	04/01/2022		04/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00306	5432 US HIGHWAY 19	NEW PORT RICHEY	FL	34652	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03662	5357 EHRLICH RD	TAMPA	FL	33625	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05110	105 S PEBBLE BEACH BLVD	SUN CITY CENTER	FL	33573	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17152	7150 US 19 N	PINELLAS PARK	FL	33781	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05149	5502 E FOWLER AVE	TEMPLE TERRACE	FL	33617	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 01771	2322 LAND O LAKES BLVD	LUTZ	FL	33549	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04801	6170 LAKELAND HIGHLANDS RD	LAKELAND	FL	33813	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03686	30387 US HWY 19 N	CLEARWATER	FL	33761	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03583	12015 LITTLE RD	HUDSON	FL	34667	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03628	5632 GUNN HWY	TAMPA	FL	33624	04/13/2022	07/01/2022	08/15/2023	04/15/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03927	700 E LAKE RD	PALM HARBOR	FL	34685	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 08380	2077 COMMERCIAL WAY	SPRING HILL	FL	34606	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04472	105 WEST HAMPTON SPRINGS AVE	PERRY	FL	32347	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA CVS/PHARMACY # 5466	1230 WEST 29TH STREET	HIALEAH	FL	33012	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA CVS/PHARMACY #11236	15996 PRESERVE MARKETPLACE BLVD	ODESSA	FL	33556	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 08396	1929 BRUCE B. DOWNS BLVD.	WESLEY CHAPEL	FL	33544	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05784	10013 MCMULLEN RD.	RIVERVIEW	FL	33569	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	NAVARRO DISCOUNT PHARMACY # 10717	1601 WEST FLAGLER STREET	MIAMI	FL	33135	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 16436	3625 W GANDY BLVD	TAMPA	FL	33611	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03399	6105 US HWY 98 N	LAKELAND	FL	33809	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02898	813 W. BEARSS AVE.	TAMPA	FL	33613	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	CVS/PHARMACY #11367	1120 E. KENNEDY BLVD, SUITE 126	TAMPA	FL	33602	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 00538	7351 W HILLSBOROUGH AVE	TAMPA	FL	33634	04/13/2022	07/01/2022		07/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03664	1010 BLOOMINGDALE AVE	VALRICO	FL	33596	07/15/2022	10/01/2022		10/01/2022
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05148	1904 W LUMSDEN RD	BRANDON	FL	33511	10/15/2022	01/01/2023		01/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03660	2109 STATE RD 60 E	VALRICO	FL	33594	04/23/2023	07/01/2023		07/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03579	3771 TAMPA RD	OLDSMAR	FL	34677	07/16/2023	10/01/2023		10/01/2023
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 04072	1525 W. 49TH ST.	HIALEAH	FL	33012	10/27/2023	01/01/2024		01/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17360	11627 W HILLSBOROUGH AVE	TAMPA	FL	33635	10/27/2023	01/01/2024		01/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02873	2200 34TH STREET NORTH	SAINT PETERSBURG	FL	33713	10/27/2023	01/01/2024		01/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03703	10925 STATE ROAD 54	NEW PORT RICHEY	FL	34655	01/18/2024	04/01/2024		04/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03539	11582 N WILLIAMS ST #506	DUNNELLON	FL	34432	04/15/2024	07/01/2024		07/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 02030	301 S. 6TH AVE.	WAUCHULA	FL	33873	04/15/2024	07/01/2024		07/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 05251	8809 NEW TAMPA BLVD	TAMPA	FL	33647	07/26/2024	10/01/2024		10/01/2024
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03528	12990 CORTEZ BLVD	BROOKSVILLE	FL	34613	10/15/2024	01/01/2025		01/01/2025
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03746	11115 SPRING HILL DR	SPRING HILL	FL	34609	10/15/2024	01/01/2025		01/01/2025
Contract Detail	HOLIDAY CVS, L.L.C.	DBA: CVS/PHARMACY # 03685	7790 BLANDING BLVD	JACKSONVILLE	FL	32244	01/25/2025	04/01/2025		04/01/2025
Contract Detail	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 16183	15240 N DALE MABRY HWY	TAMPA	FL	33618	01/25/2025	04/01/2025		04/01/2025
Contract Detail	JTJ MEDICAL SUPPLY, INC	DBA MAIL MEDS CLINICAL PHARMACY	2692 OAK RIDGE CT	FORT MYERS	FL	33901	03/04/2016	04/01/2016	01/28/2025	01/28/2025
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	14580 GLOBAL PARKWAY SUITE 108	FORT MYERS	FL	33913-8887	04/15/2016	07/01/2016		08/11/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	6401 W WATERS AVE	TAMPA	FL	33634	04/26/2016	07/01/2016		08/11/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	DBA OPTION CARE	11650 MIRAMAR PARKWAY SUITE 100	MIRAMAR	FL	33025-5823	04/25/2016	07/01/2016		08/11/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	04/25/2016	07/01/2016		08/11/2016
Contract Detail	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	10/22/2018	01/01/2019	10/05/2020	10/13/2020
Contract Detail	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	01/19/2022	01/24/2022		01/26/2022
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/22/2018	01/01/2019		01/01/2019
Contract Detail	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	10/22/2018	01/01/2019		01/01/2019
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/23/2018	07/01/2018	07/17/2023	07/17/2023
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/18/2016	01/01/2017		10/18/2016
Contract Detail	PROCARE PHARMACY, L.L.C.	NAVARRO SPECIALTY SERVICES # 10727	7205 CORPORATE CENTER DRIVE SUITE 104	MIAMI	FL	33126	07/15/2020	10/01/2020		10/01/2020
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/18/2021	01/01/2022		01/01/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/18/2021	01/01/2022		01/01/2022
Contract Detail	PUBLIX PHARMACY	PUBLIX PHARMACY #0310	3615 W GANDY BLVD	TAMPA	FL	33611-2607	01/15/2021	04/01/2021		04/01/2021
Contract Detail	PUBLIX PHARMACY #0524	3939 VAN DYKE ROAD		LUTZ	FL	33558	01/22/2019	04/01/2019		04/01/2019
Contract Detail	PUBLIX SUPER MARKETS	PUBLIX PHARMACY #0685	5450 EAST BUSCH BLVD	TEMPLE TERRACE	FL	33617	04/19/2017	07/01/2017		04/19/2017
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #0582	2724 W HILLSBOROUGH AVE	TAMPA	FL	33614	04/19/2017	07/01/2017		04/19/2017
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX COMPOUNDING PHARMACY #3212	2424 ORLANDO CENTRAL PKWY STE 200	ORLANDO	FL	32809	04/19/2017	07/01/2017	10/05/2020	10/13/2020
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	04/19/2017	07/01/2017		04/19/2017
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3221	3003 W. DR. MARTIN LUTHER KING JR. BLVD.	TAMPA	FL	33607	01/22/2019	04/01/2019		04/01/2019
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/22/2019	04/01/2019		04/01/2019
Contract Detail	TAMPA FAMILY PHARMACY	12470 TELECOM DR STE 110W		TEMPLE TERRACE	FL	33637	03/04/2016	04/01/2016	01/28/2025	01/28/2025
Contract Detail	URBAN SPECIALTY PHARMACY, LLC	1617 34TH ST S STE A		ST PETERSBURG	FL	33711-2855	01/22/2019	04/01/2019	04/01/2023	04/23/2023
Contract Detail	VISTA MEDICAL GROUP LLC	MEDICASCRIPTS PHARMACY	15511 N. FLORIDA AVE	TAMPA	FL	33613	07/14/2016	10/01/2016	04/13/2018	04/13/2018
Contract Detail	VOLEL PRFSNL PHRMST ASSOC	PHARMACYONEPRO SPCLTY CR PHMCY	65 3RD ST NW SUITE 59	WINTER HAVEN	FL	33881	07/15/2018	10/01/2018		10/01/2018
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY #10-3197	15302 N. NEBRASKA AVE		TAMPA	FL	33613	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY #10-5871	5734 S. ORANGE BLOSSOM TRAIL		ORLANDO	FL	32809	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0706	7631 GALL BLVD		ZEPHYRHILLS	FL	33540	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0908	8101 SO. JOHN YOUNG PKWY.		ORLANDO	FL	32819	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0988	1575 LAND O' LAKE		LUTZ	FL	33548	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0994	8745 54 STATE ROAD		NEW PORT RICHEY	FL	34655	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1203	4928 STATE ROAD 674		WIMAUMA	FL	33598	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1213	13300 CORTEZ BLVD		BROOKSVILLE	FL	34613	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1482	7011 WATERS AVE. WEST		TAMPA WEST	FL	33634	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1501	14941 N. DALE MABRY HWY		TAMPA N	FL	33618	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-2387	11110 CAUSEWAY BLVD		BRANDON	FL	33511	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-2627	2701 EAST FLETCHER AVENUE		TAMPA	FL	33612	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-2740	19910 BRUCE B. DOWNS ROAD		TAMPA (NE)	FL	33647	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-3463		1208 EAST BRANDON BLVD	BRANDON	FL	33511	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-4681	4302 W GANDY BLVD		TAMPA	FL	33611	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-4690	201 - 34TH STREET N		SAINT PETERSBURG	FL	33713	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5035	6745 N CHURCH AVE		MULBERRY	FL	33860	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5218	3501 34TH STREET SOUTH		ST.PETERSBURG	FL	33711	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5221	8885 N. FLORIDA AVE		TAMPA	FL	33604	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5266	12610 US HWY 19		HUDSON	FL	34667	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5300	9205 GIBSONTON DRIVE		GIBSONTON	FL	33534	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5760	1601 WEST KENEDY BLVD.		TAMPA	FL	33606	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY WHSE #45	2250 NORTH 8TH STREET	SUITE 102-A	ROGERS	AR	72756	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO	DBA: WALGREENS #11264	21790 21 MILE RD	MACOMB	MI	48044	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03145	1860 E. FOWLER AVE.	TAMPA	FL	33612	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03459	2117 E HILLSBOROUGH AVE	TAMPA	FL	33610	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04326	4319 N. ARMENIA AVE.	TAMPA	FL	33607	04/08/2016	07/01/2016	04/13/2018	04/13/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05451	315 W. PLATT STREET	TAMPA	FL	33606	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05806	3917 NORTH NEBRASKA AVE	TAMPA	FL	33603	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06611	1704 W HILLSBOROUGH AVE	TAMPA	FL	33603	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 15129	3518 HENDERSON BLVD	TAMPA	FL	33609	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15301	3030 1ST AVE N	ST PETERSBURG	FL	33713	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04573	9202 N. 56TH STREET	TEMPLE TERRACE	FL	33617	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12673	2916 E. FLETCHER AVE.	TAMPA	FL	33612	04/08/2016	07/01/2016		08/11/2016
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06029	11115 E DR MLK JR BLVD	SEFFNER	FL	33584	04/19/2017	07/01/2017		04/19/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06732	2102 W BAKER STREET	PLANT CITY	FL	33563-1643	07/07/2017	10/01/2017		10/01/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03743	4651 W. KENNEDY BLVD.	TAMPA	FL	33609	07/07/2017	10/01/2017		10/01/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06786	7751 49TH STREET N	PINELLAS PARK	FL	33781	10/16/2017	01/01/2018		10/16/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06494	22829 STATE ROAD 54	LAND O LAKES	FL	34639	10/16/2017	01/01/2018		10/16/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03829	8398 SHELDON ROAD	TAMPA	FL	33615	10/16/2017	01/01/2018		10/16/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07827	7610 4TH ST N	SAINT PETERSBURG	FL	33702	04/23/2018	07/01/2018		04/23/2018
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 13031	3863 S DALE MABRY HWY	TAMPA	FL	33611	07/15/2019	10/01/2019		10/01/2019
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21226	1506 W KENNEDY BLVD STE A	TAMPA	FL	33606	10/13/2020	01/01/2021		01/01/2021
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07931	35553 US 19 N	PALM HARBOR	FL	34684	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 01189	3420 E LAKE ROAD	PALM HARBOR	FL	34685	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06674	8706 W HILLSBOROUGH AVE	TAMPA	FL	33615-3705	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02818	2199 W BUSCH BLVD	TAMPA	FL	33612	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02975	15602 N. DALE MABRY	TAMPA	FL	33618	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05414	9220 LITTLE ROAD	NEW PORT RICHEY	FL	34654	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05661	4401 GULF BLVD	ST PETE BEACH	FL	33706	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 04034	1011 BLOOMINGDALE AVE.	VALRICO	FL	33596	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02887	1001 78TH ST SOUTH	TAMPA	FL	33619	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS #09297	10427 BIG BEND RD	RIVERVIEW	FL	33578	01/12/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06032	595 PIEDMONT AVE NE STE 100	ATLANTA	GA	30308-2480	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07177	705 N PEBBLE BEACH BLVD	SUN CITY CENTER	FL	33573-5350	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07105	11010 BLOOMINGDALE AVENUE	RIVERVIEW	FL	33578	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07815	3016 W GANDY BLVD	TAMPA	FL	33611	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05576	7925 GUNN HIGHWAY	TAMPA	FL	33626	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05604	6429 GALL BLVD	ZEPHYRHILLS	FL	33542	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07569	20741 BRUCE B DOWNS BLVD	TAMPA	FL	33647	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06412	28115 WESLEY CHAPEL BLVD	WESLEY CHAPEL	FL	33543	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	WALGREENS #16399	3100 E. FLETCHER AVE SUITE A165	TAMPA	FL	33613	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03128	5709 GUNN HIGHWAY	TAMPA	FL	33625	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09475	10624 GIBSONTON DRIVE	RIVERVIEW	FL	33578	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03351	6818 N. ARMENIA AVE.	TAMPA	FL	33604	01/21/2024	04/01/2024		04/01/2024
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	01/22/2019	04/01/2019	10/01/2021	10/06/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/22/2019	04/01/2019		04/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/22/2019	04/01/2019		04/01/2019
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/22/2019	04/01/2019		04/01/2019
Contract Detail	WALMART PHARMACY #10-5654	3671 W. HILLSBOROUGH AVE		TAMPA	FL	33614	10/27/2023	01/01/2024		01/01/2024
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/27/2023	01/01/2024		01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	5/27/2024 8:04:48 PM	6/3/2025 10:00:32 AM	6/3/2025 10:00 AM
Contacts	Authorizing Official	Update	Profile Change Request	Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127	Patel, Rishi President & CEO CAN Community Health, Inc. 9413004440-11127	1/28/2025 7:30 PM
Addresses	Shipping Address	Update	Change Request	CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Ste 9 Plantation, FL 33317	CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Medical Plaza Ste 9 Plantation, FL 33317	1/28/2025 9:39 AM
Addresses	Billing Address	Update	Group Change Request	CAN Community Health, Inc. 4440 Fruitville Rd SARASOTA, FL 34232	CAN Community Health, Inc. 2105 N. Nebraska Ave. Tampa, FL 33602	6/20/2024 3:06 PM
Details	Last Recertification Date	Update	Recertification	5/17/2023 10:48:44 AM	5/27/2024 8:04:48 PM	5/27/2024 8:04 PM
Addresses	Shipping Address	Update	Change Request	Tampa Family Pharmacy 2919 W Swann Ave. Ste 101 Tampa, FL 33609	Tampa Family Pharmacy 12470 Telecom Dr Ste 110W Temple Terrace, FL 33637	12/11/2023 10:45 AM
Details	Last Recertification Date	Update	Recertification	6/5/2022 8:39:43 PM	5/17/2023 10:48:44 AM	5/17/2023 10:48 AM
Addresses	Shipping Address	Insert	Change Request		JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 2105 N Nebraska Ave Tampa, FL 33602	9/21/2022 7:07 AM
Addresses	Shipping Address	Insert	Change Request		JTJ Medical Supply Inc., d/b/a Mail-Meds Clinical Pharmacy 2692 Oak Ridge Ct Fort Myers, FL 33901	7/19/2022 9:48 AM
Addresses	Shipping Address	Insert	Change Request		Tampa Family Pharmacy 2919 W Swann Ave. Ste 101 Tampa, FL 33609	7/19/2022 9:48 AM
Contacts	Authorizing Official	Update	Profile Change Request	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	Patel, Rishi President & CEO CAN Community Health, Inc. 9413660461-11127	7/5/2022 4:02 PM
Details	Last Recertification Date	Update	Recertification	6/4/2021 3:06:56 PM	6/5/2022 8:39:43 PM	6/5/2022 8:39 PM
Contacts	Primary Contact	Update	Profile Change Request	Joshi, Hemali VP Enterprise Systems & Pharmacy Analytics CAN Community Health, Inc. 9413004440-10161	Joshi, Hemali SVP, Chief Data Officer CAN Community Health, Inc. 9413004440-10161	4/8/2022 1:34 PM
Addresses	Shipping Address	Insert	Group Change Request		CAN Community Health Pharmacy of Arlington 603 Matlock Centre Cir Arlington, TX 76015	10/13/2021 7:47 AM
Contacts	Primary Contact	Update	Profile Change Request	Joshi, Hemali VP Quality, Analytics & Pharmacy Operations CAN Community Health, Inc. 9413004440-10161	Joshi, Hemali VP Enterprise Systems & Pharmacy Analytics CAN Community Health, Inc. 9413004440-10161	10/6/2021 12:58 PM
Contacts	Authorizing Official	Update	Change Request	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-11111	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	6/23/2021 12:53 PM
Contacts	Primary Contact	Update	Change Request	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	Joshi, Hemali VP Quality, Analytics & Pharmacy Operations CAN Community Health, Inc. 9413004440-10161	6/23/2021 12:53 PM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Executive Vice President & Chief Operating Officer CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Interim President & CEO CAN Community Health, Inc. 9413660461-11127	6/21/2021 12:48 PM
Details	Last Recertification Date	Update	Recertification	5/29/2020 3:30:24 PM	6/4/2021 3:06:56 PM	6/4/2021 3:06 PM
Details	NOFO Number	Update	Recertification		PS19-1901	6/4/2021 3:06 PM
Details	Nature Of Support	Delete	Change Request	Direct Funding (dollars received from CDC or an intermediate organization) ()-()		4/22/2021 5:01 PM
Details	Nature of Support: In Kind Support Description	Insert	Change Request		Educational Brochures	4/22/2021 5:01 PM
Details	Nature Of Support	Insert	Change Request		In-Kind products or services (see note below; must have been purchased with section 318 funds)	4/22/2021 5:01 PM
Details	Nature of Support: Support Received From Date	Insert	Change Request		3/15/2021 12:00:00 AM	4/22/2021 5:01 PM
Details	Nature of Support: Support Received To Date	Insert	Change Request			4/22/2021 5:01 PM
Details	Grant Number	Update	Change Request	5 NU65PS004814-05-00	1 NH25PS005131-01-00	4/22/2021 5:01 PM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Senior Vice President of Pharmacy Services CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Executive Vice President & Chief Operating Officer CAN Community Health, Inc. 9413660461-11127	10/1/2020 3:09 PM
Addresses	Shipping Address	Insert	Change Request		CAN Community Health Pharmacy of Clearwater 2349 Sunset Point Road Ste 404 Clearwater, FL 33765	9/23/2020 4:27 PM
Addresses	Shipping Address	Insert	Change Request		CAN Community Health Pharmacy of Jacksonville 4615 Philips Hwy Ste 3 Jacksonville, FL 32207	9/23/2020 4:27 PM
Addresses	Shipping Address	Insert	Change Request		CAN Community Health Pharmacy of Ft. Lauderdale 4101 NW 3rd Court Ste 9 Plantation, FL 33317	9/23/2020 4:27 PM
Details	Last Recertification Date	Update	Recertification	5/29/2019 10:09:58 AM	5/29/2020 3:30:24 PM	5/29/2020 3:30 PM
Addresses	Billing Address	Update	Change Request	CAN Community Health, Inc. 1231 N Tuttle Ave Sarasota, FL 34237	CAN Community Health, Inc. 4440 Fruitville Rd SARASOTA, FL 34232	4/17/2020 12:29 PM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Senior Vice President of Pharmacy Services CAN Community Health, Inc. 9413660461-11127	9/20/2019 1:41 PM
Details	Grant Number	Update	Change Request	6 NU65PS004814-04-01	5 NU65PS004814-05-00	8/5/2019 9:03 AM
Details	Last Recertification Date	Update	Recertification	5/18/2018 10:36:27 AM	5/29/2019 10:09:58 AM	5/29/2019 10:09 AM
Details	Grant Number	Update	Recertification	5 NU65PS004814-02	6 NU65PS004814-04-01	5/29/2019 10:09 AM
Details	Entity Subname	Update	Recertification		Habana	5/29/2019 10:09 AM
Contacts	Authorizing Official	Update	Change Request	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660134-11111	7/17/2018 7:14 AM
Contacts	Authorizing Official	Update	Profile Change Request	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	7/12/2018 3:06 PM
Contacts	Signed By	Update	Profile Change Request	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	Carlisle, Richard E. President & CEO CAN Community Health, Inc. 9413660461-11111	7/12/2018 3:06 PM
Contacts	Primary Contact	Update	Recertification	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	5/18/2018 10:36 AM
Details	Last Recertification Date	Update	Recertification	5/16/2017 12:00:00 AM	5/18/2018 10:36:27 AM	5/18/2018 10:36 AM
Addresses	Billing Address	Update	Change Request	Comprehensive Care Center, Inc dba Community AIDS Network 1231 N Tuttle Ave Sarasota, FL 34237	CAN Community Health, Inc. 1231 N Tuttle Ave Sarasota, FL 34237	12/13/2017 6:33 AM
Details	Entity Name	Update	Change Request	Comprehensive Care Center, Inc dba Community AIDS Network	CAN Community Health, Inc.	12/13/2017 6:33 AM
Contacts	Primary Contact	Update	Profile Change Request	Patel, Rishi Chief Pharmacy Officer Comprehensive Care Center, Inc. dba Community AIDS Network 9413660461-11127	Patel, Rishi Chief Pharmacy Officer CAN Community Health, Inc. 9413660461-11127	11/30/2017 3:58 PM
Contacts	Authorizing Official	Update		Carlisle, Richard E. President & CEO 9413660461-1020	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	10/15/2017 9:02 PM
Contacts	Signed By	Update		Carlisle, Richard E. President & CEO 9413660461-1020	Carlisle, Richard E. President & CEO Comprehensive Care Center, Inc. dab Community AIDS Network 9413660461-1020	10/15/2017 9:02 PM
Contacts	Primary Contact	Update		Patel, Rishi Chief Pharmacy Officer 9413660461-11127	Patel, Rishi Chief Pharmacy Officer Comprehensive Care Center, Inc. dba Community AIDS Network 9413660461-11127	9/19/2017 3:16 PM
Contacts	Authorizing Official	Insert			Carlisle, Richard E. President & CEO 9413660461-1020	8/9/2017 4:00 PM
Contacts	Signed By	Insert			Carlisle, Richard E. President & CEO 9413660461-1020	8/9/2017 4:00 PM
Contacts	Primary Contact	Insert			Patel, Rishi Chief Pharmacy Officer 9413660461-11127	8/9/2017 4:00 PM
Addresses	Main Address	Insert			4729 N Habana Ave Tampa, FL 33614	5/16/2017 8:27 AM
Details	Last Recertification Date	Update			5/16/2017 12:00:00 AM	5/16/2017 8:26 AM
Details	Grant Number	Update		5 NU65PS004814-02-00	5 NU65PS004814-02	5/16/2017 8:26 AM
Addresses	Billing Address	Insert			Comprehensive Care Center, Inc dba Community AIDS Network 1231 N Tuttle Ave Sarasota, FL 34237	8/11/2016 2:49 PM
Details	Grant Number	Update		1U65PS00481401	5 NU65PS004814-02-00	8/11/2016 2:49 PM
Dates	Participating Approval Date	Update			3/4/2016 12:00:00 AM	3/4/2016 11:08 AM
Details	State	Update		Pending	Active	3/4/2016 11:08 AM
Dates	Start Date	Update			4/1/2016 12:00:00 AM	3/4/2016 11:08 AM
Details	340B ID	Update		ONLINE_REG_58307	STD336141	2/11/2016 8:28 AM
Details	Nature Of Support	Insert			Direct Funding (dollars received from CDC or an intermediate organization)	1/15/2016 1:40 PM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_58307	1/15/2016 1:40 PM
Details	Last Recertification Date	Insert				1/15/2016 1:40 PM
Details	Grant Number	Insert			1U65PS00481401	1/15/2016 1:40 PM
Details	340B ID	Insert			ONLINE_REG	1/15/2016 1:40 PM
Details	Is Authorizing Official EHB Data	Insert				1/15/2016 1:40 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/15/2016 1:40 PM
Details	Medicare Provider Number	Insert				1/15/2016 1:40 PM
Details	Entity Name	Insert			Comprehensive Care Center, Inc dba Community AIDS Network	1/15/2016 1:40 PM
Details	Program Code	Insert			STD	1/15/2016 1:40 PM
Details	Entity Subname	Insert				1/15/2016 1:40 PM
Dates	Participating Approval Date	Insert				1/15/2016 1:40 PM
Details	State	Insert			Pending	1/15/2016 1:40 PM
Dates	Registration Date	Insert			1/15/2016 12:00:00 AM	1/15/2016 1:40 PM
Dates	Signed By Date	Insert			1/15/2016 12:00:00 AM	1/15/2016 1:40 PM
Dates	Start Date	Insert				1/15/2016 1:40 PM
Terminations	Termination Comments	Insert				1/15/2016 1:40 PM
Terminations	Termination Date	Insert				1/15/2016 1:40 PM
Terminations	Termination Effective Date	Insert				1/15/2016 1:40 PM
Terminations	Termination Reason	Insert				1/15/2016 1:40 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History