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BIOPLUS SPECIALTY PHARMACY, INC
STD850153 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
AZ Suite 6
Type
Sexually Transmitted Diseases
340B ID
STD850153
Entity Address
4350 N 19th Avenue
Suite 6
Phoenix, AZ 85015
Grant Number
6 NU62PS924818-01-01
Participating Start Date
1/1/2020
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY, INC
Pharmacy Address
3200 LAKE EMMA RD UNIT 1000
LAKE MARY, FL 32746
Pharmacy Comments
Contract Details
Approval Date
4/21/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/5/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
4/21/2022
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