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WAL-MART PHARMACY 10-3625
STD333171 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
BHW
Type
Sexually Transmitted Diseases
340B ID
STD333171
Entity Address
4101 NORTH WEST 3RD COURT
Medical Plaza
Suite 9
Plantation, FL 33317
Grant Number
1 NH25PS005131-01-00
Participating Start Date
1/1/2018
Last Recertification Date
5/27/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3625
Pharmacy Address
3001 NORTH STATE ROAD #7
LAUDERDALE LAKES, FL 33313
Pharmacy Comments
Contract Details
Approval Date
10/27/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/27/2023
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