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PRIDE PHARMACY, LLC
STD333171 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
BHW
Type
Sexually Transmitted Diseases
340B ID
STD333171
Entity Address
4101 NORTH WEST 3RD COURT
Medical Plaza
Suite 9
Plantation, FL 33317
Grant Number
1 NH25PS005131-01-00
Participating Start Date
1/1/2018
Last Recertification Date
5/27/2024
Entity Termination Date
7/1/2025
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
10/24/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/28/2025
Ownership change
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Contract Pharmacy Representative
Midland Medical
Michael Supino, Managing Partner
(479) 366-7893
Signed By Date
10/16/2017
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