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RWII342371E Comprehensive Care Center, Inc dba Community AIDS Network (Terminated)
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Main Details
Name
Comprehensive Care Center, Inc dba Community AIDS Network
Subdivision Name
Type
Ryan White Part B
340B ID
RWII342371E
Grant Number
X07HA00057
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/26/2016
Last Recertification Date
1/30/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
CAN Community Health, Inc.
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Primary Contact
CAN Community Health, Inc.
Rishi Patel, Chief Pharmacy Officer
(941) 366-0461 Ext: 11127
Addresses
Street Address
1218 Millennium Parkway
Brandon, FL 33511
Billing Address
Comprehensive Care Center, Inc dba Community AIDS Network
1231 N. Tuttle Ave.
Sarasota, FL 34237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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