340B Drug Pricing Program Database
CRESCENT HEALTHCARE, INC.
STD328061 CAN Community Health, Inc. - information as of 4/29/2025 5:26:11 AM
Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Orlando
Type
Sexually Transmitted Diseases
340B ID
STD328061
Entity Address
1301 W Colonial Drive
Orlando, FL 32804
Grant Number
1 NH25PS005131-01-00
Participating Start Date
4/5/2019
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
CRESCENT HEALTHCARE, INC.
Pharmacy Address
5431 SW 35TH DR STE 200
GAINESVILLE, FL 32608
Pharmacy Comments
Contract Details
Approval Date
4/5/2019
Contract Begin Date
4/8/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111
Contract Pharmacy Representative
Option Care
Jon Adair, Vice President, Health System Solutions
(847) 830-9996
Signed By Date
4/5/2019
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