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EMPATH HEALTH PHARMACEUTICALS, LLC
STD336141 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Habana
Type
Sexually Transmitted Diseases
340B ID
STD336141
Entity Address
4729 N Habana Ave
Tampa, FL 33614
Grant Number
1 NH25PS005131-01-00
Participating Start Date
4/1/2016
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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