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VOLEL PRFSNL PHRMST ASSOC
STD328061 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Orlando
Type
Sexually Transmitted Diseases
340B ID
STD328061
Entity Address
1301 W Colonial Drive
Orlando, FL 32804
Grant Number
1 NH25PS005131-01-00
Participating Start Date
4/5/2019
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
VOLEL PRFSNL PHRMST ASSOC
Pharmacy Address
PHARMACYONEPRO SPCLTY CR PHMCY
65 3RD ST NW
SUITE 59
WINTER HAVEN, FL 33881
Pharmacy Comments
Contract Details
Approval Date
7/15/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Contract Pharmacy Representative
Pharmacy One Pro
Paul Volel, Jr., CEO/Owner
(863) 401-9300
Signed By Date
7/15/2018
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