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WAL-MART PHARMACY 10-2627
STD336171 CAN Community Health, Inc
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Covered Entity Details
Entity Name
CAN Community Health, Inc
Subdivision Name
Temple Terrace
Type
Sexually Transmitted Diseases
340B ID
STD336171
Entity Address
341 Bullard Pkwy
Suite A-B
Temple Terrace, FL 33617
Grant Number
1 NH25PS005131-01-00
Participating Start Date
1/1/2020
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2627
Pharmacy Address
2701 EAST FLETCHER AVENUE
TAMPA, FL 33612
Pharmacy Comments
Contract Details
Approval Date
1/18/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/18/2024
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