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JTJ MEDICAL SUPPLY, INC
STD85712 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Tucson
Type
Sexually Transmitted Diseases
340B ID
STD85712
Entity Address
6252 E Grant Rd
Tucson, AZ 85712
Grant Number
1 NU62PS924550-01-00
Participating Start Date
10/1/2021
Last Recertification Date
5/27/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
JTJ MEDICAL SUPPLY, INC
Pharmacy Address
DBA MAIL-MEDS CLINICAL PHARMACY
2331 W ROYAL PALM RD
SUITE E
PHOENIX, AZ 85021-4940
Pharmacy Comments
Contract Details
Approval Date
8/6/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/28/2025
Ownership change
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
JTJ Medical Supply, Inc.
Mark J. Theobald, Owner
(800) 939-2022 Ext: 111
Signed By Date
7/26/2021
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