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PRIDE PHARMACY, LLC
RWI33316 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
BH Central
Type
Ryan White Part A
340B ID
RWI33316
Entity Address
1726 SE 3rd Ave
Ft. Lauderdale, FL 33316
Grant Number
H89HA00002
Participating Start Date
10/1/2017
Last Recertification Date
2/25/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
PRIDE PHARMACY, LLC
Pharmacy Address
MIDLAND PHARMACY
1421 E OAKLAND PARK BLVD
STE 100
OAKLAND PARK, FL 33334
Pharmacy Comments
Contract Details
Approval Date
7/26/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Midland Medical
Michael Supino, Managing Partner
(479) 366-7893
Signed By Date
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