Contract Pharmacy Details

DUNN MEADOW PHARMACY
RWI07834 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Denville

Type

Ryan White Part A

340B ID

RWI07834

Entity Address

295 E Main Street
#315
Denville, NJ 07834

Grant Number

H89HA00003

Participating Start Date

7/1/2019

Last Recertification Date

2/16/2024

Entity Termination Date

7/1/2024

Pharmacy Details

Pharmacy Name

DUNN MEADOW PHARMACY

Pharmacy Address

1555 CENTER AVE, FIRST FLOOR
FORT LEE, NJ 07024

Pharmacy Comments

Contract Details

Approval Date

6/5/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111

Contract Pharmacy Representative

Dunn Meadow Pharmacy
Daniel Weinstein, Co-Founder
(201) 676-3839

Signed By Date

4/15/2019

340B Drug Pricing Program Database