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CYSTIC FIBROSIS SERVICES, LLC
STD33990 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Cape Coral
Type
Sexually Transmitted Diseases
340B ID
STD33990
Entity Address
1224 Del Prado Blvd. S.
Suite A
Cape Coral, FL 33990-3670
Grant Number
1 NH25PS005131-01-00
Participating Start Date
1/1/2022
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
CYSTIC FIBROSIS SERVICES, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16280
10530 JOHN W ELLIOTT DR STE 200
FRISCO, TX 75033
Pharmacy Comments
Contract Details
Approval Date
11/19/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/18/2021
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