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CAN COMMUNITY HEALTH, INC.
STD336053 Metropolitan Charities, Inc.
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Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD336053
Entity Address
2105 N Nebraska Ave
Tampa, FL 33602-2558
Grant Number
NU62PS924698
Participating Start Date
5/15/2023
Last Recertification Date
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
4/1/2021
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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