Contract Pharmacy Details

ACCREDO HEALTH GROUP INC
STD336141 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Habana

Type

Sexually Transmitted Diseases

340B ID

STD336141

Entity Address

4729 N Habana Ave
Tampa, FL 33614

Grant Number

1 NH25PS005131-01-00

Participating Start Date

4/1/2016

Last Recertification Date

6/3/2025

Pharmacy Details

Pharmacy Name

ACCREDO HEALTH GROUP INC

Pharmacy Address

201 GREAT CIRCLE ROAD
NASHVILLE, TN 37228

Pharmacy Comments

Contract Details

Approval Date

4/25/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/6/2018
Pharmacy closed

Contacts

Covered Entity Signing Official

Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111

Contract Pharmacy Representative

Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500

Signed By Date

4/25/2016

340B Drug Pricing Program Database