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HEDGES PRESCRIPTION SHOP INC
STD33765 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Clearwater
Type
Sexually Transmitted Diseases
340B ID
STD33765
Entity Address
2349 Sunset Point Rd. #404
Clearwater, FL 33765
Grant Number
1 NH25PS005131-01-00
Participating Start Date
7/1/2016
Last Recertification Date
5/29/2025
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
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Contract Pharmacy Representative
Hedges Prescription Shop
Chris Mottram, President & CEO
(941) 366-2424
Signed By Date
10/16/2017
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