Contract Pharmacy Details

INFINITI PHARMACY AND INFUSION SERVICES
STD33139 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

South Beach

Type

Sexually Transmitted Diseases

340B ID

STD33139

Entity Address

427 Washington Avenue
Miami Beach, FL 33139

Grant Number

1 NH25PS005131-01-00

Participating Start Date

4/1/2017

Last Recertification Date

5/27/2024

Pharmacy Details

Pharmacy Name

INFINITI PHARMACY AND INFUSION SERVICES

Pharmacy Address

1338 NORTH FEDERAL HIGHWAY
POMPANO BEACH, FL 33062

Pharmacy Comments

Contract Details

Approval Date

4/14/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/30/2017
Pharmacy closed

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Deepak Ranade, President & Clinical Pharmacist
(866) 778-8255

Signed By Date

4/14/2017

340B Drug Pricing Program Database