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EMPATH HEALTH PHARMACEUTICALS, LLC
STD337131 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
St. Pete
Type
Sexually Transmitted Diseases
340B ID
STD337131
Entity Address
3251 3rd Ave. North, Suite 125
St. Petersburg, FL 33713
Grant Number
1 NH25PS005131-01-00
Participating Start Date
1/1/2016
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
EMPATH HEALTH PHARMACEUTICALS, LLC
Pharmacy Address
EMPATH HEALTH PHARMACY
PHARMACY DEPARTMENT
3050 1ST AVE S
ST PETERSBURG, FL 33712
Pharmacy Comments
Contract Details
Approval Date
4/17/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111
Contract Pharmacy Representative
Empath Health Pharmaceuticals
Aaron Rigali, Pharmacy Manager
(727) 209-3500
Signed By Date
4/17/2020
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