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CAN COMMUNITY HEALTH, INC.
STD337651 Metropolitan Charities, Inc.
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Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337651
Entity Address
2349 Sunset Point Rd
Suite #405
Clearwater, FL 33765
Grant Number
5 NU65PS004814-05-00
Participating Start Date
1/1/2017
Last Recertification Date
5/6/2020
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
4/1/2021
Covered Entity Terminated
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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