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SOLERA SPECIALTY PHARMACY, LLC
STD33316 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
BHC
Type
Sexually Transmitted Diseases
340B ID
STD33316
Entity Address
315 SE 14th St.
Fort Lauderdale, FL 33316
Grant Number
1 NH25PS005131-01-00
Participating Start Date
10/1/2017
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
SOLERA SPECIALTY PHARMACY, LLC
Pharmacy Address
SOLERA SPECIALTY PHARMACY
2100 PARK CENTRAL BLVD N STE 300
POMPANO BEACH, FL 33064-2219
Pharmacy Comments
Contract Details
Approval Date
4/23/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Contract Pharmacy Representative
Solera Specialty Pharmacy
Richard Dougherty, COO
(877) 712-7864
Signed By Date
4/23/2018
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