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CAN COMMUNITY HEALTH, INC.
RWII336051A Metropolitan Charities, Inc.
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Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII336051A
Entity Address
3251 3rd Avenue N
St Petersburg, FL 33713
Grant Number
X07HA00057
Participating Start Date
10/1/2015
Last Recertification Date
2/6/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
CAN COMMUNITY HEALTH, INC.
Pharmacy Address
CAN COMMUNITY HEALTH PHARMACY OF CLEARWA
2349 SUNSET POINT RD STE 404
CLEARWATER, FL 33765
Pharmacy Comments
Contract Details
Approval Date
4/26/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/21/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lorraine Langlois, Chief Executive Officer
(727) 321-3854
Contract Pharmacy Representative
CAN Community Health, Inc.
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Signed By Date
4/26/2018
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