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CORAM HEALTHCARE CORPORATION OF FLORIDA
STD336141 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Habana
Type
Sexually Transmitted Diseases
340B ID
STD336141
Entity Address
4729 N Habana Ave
Tampa, FL 33614
Grant Number
1 NH25PS005131-01-00
Participating Start Date
4/1/2016
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
CORAM HEALTHCARE CORPORATION OF FLORIDA
Pharmacy Address
DBA CORAM CVS/SPECIALTY INFUSION SERVICE
8508 BENJAMIN RD
SUITE C
TAMPA, FL 33634-1241
Pharmacy Comments
Contract Details
Approval Date
4/23/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2025
Pharmacy closed
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
4/23/2023
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