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CAN COMMUNITY HEALTH, INC.
RWI33713A Metropolitan Charities, Inc.
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Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI33713A
Entity Address
2105 N Nebraska Ave
Tampa, FL 33602-2558
Grant Number
H89HA00024
Participating Start Date
10/1/2015
Last Recertification Date
2/15/2023
Entity Termination Date
1/1/2024
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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