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ACCREDO HEALTH GROUP, INC.
STD00918 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Hato Rey
Type
Sexually Transmitted Diseases
340B ID
STD00918
Entity Address
268 Calle Eleonor Roosevelt
Urbanizacion El Vedado
San Juan, PR 00918
Grant Number
6 NU65PS004860-05-01
Participating Start Date
1/1/2021
Last Recertification Date
6/4/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/15/2021
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