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CVS PHARMACY, INC.
STD760151 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Arlington
Type
Sexually Transmitted Diseases
340B ID
STD760151
Entity Address
601 Matlock Centre Circle
Arlington, TX 76015
Grant Number
NU62PS924644
Participating Start Date
2/1/2023
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 02991
6431 MCCART AVE.
FORT WORTH, TX 76133
Pharmacy Comments
Contract Details
Approval Date
2/1/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/19/2023
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