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WAL-MART PHARMACY 10-3349
STD33990 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Cape Coral
Type
Sexually Transmitted Diseases
340B ID
STD33990
Entity Address
1224 Del Prado Blvd. S.
Suite A
Cape Coral, FL 33990-3670
Grant Number
NU62PS924532
Participating Start Date
1/1/2022
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3349
Pharmacy Address
375 KINGS HIGHWAY
PORT CHARLOTTE, FL 33983
Pharmacy Comments
Contract Details
Approval Date
1/21/2024
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
1/21/2024
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