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HEDGES PRESCRIPTION SHOP INC
RWII342371J CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Palmetto
Type
Ryan White Part B
340B ID
RWII342371J
Entity Address
408 7th St W
Palmetto, FL 34221
Grant Number
X07HA00057
Participating Start Date
4/28/2020
Last Recertification Date
2/25/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
HEDGES PRESCRIPTION SHOP INC
Pharmacy Address
HEDGES PRESCRIPTION SHOP INC
24 N LIME AVE
SARASOTA, FL 34237-6120
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Hedges Prescription Shop
Chris Mottram, President & CEO
(941) 366-2424
Signed By Date
4/13/2022
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