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CRESCENT HEALTHCARE, INC.
RWII33605 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Ybor
Type
Ryan White Part B
340B ID
RWII33605
Entity Address
2105 N Nebraska Ave
Tampa, FL 33602
Grant Number
X07HA00057
Participating Start Date
7/1/2014
Last Recertification Date
2/25/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
CRESCENT HEALTHCARE, INC.
Pharmacy Address
5431 SW 35TH DR STE 200
GAINESVILLE, FL 32608
Pharmacy Comments
Contract Details
Approval Date
4/26/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Contract Pharmacy Representative
Option Care
Jon Adair, Vice President, Health System Solutions
(847) 830-9996
Signed By Date
4/26/2016
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