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HEDGES PRESCRIPTION SHOP INC
RWII34287 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
North Port
Type
Ryan White Part B
340B ID
RWII34287
Entity Address
14243 Tamiami Trail
North Port, FL 34287
Grant Number
X07HA00057
Participating Start Date
1/1/2014
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
HEDGES PRESCRIPTION SHOP INC
Pharmacy Address
HEDGES PRESCRIPTION SHOP INC
24 N LIME AVE
SARASOTA, FL 34237-6120
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Cuffage, President & CEO
(941) 366-0461 Ext: 1058
Contract Pharmacy Representative
Signed By Date
4/15/2014
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