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ENCOMPASS RX, 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
ENCOMPASS RX, LLC
Pharmacy Address
2700 NORTHEAST EXPRESSWAY
SUITE B-800
ATLANTA, GA 30345
Pharmacy Comments
Contract Details
Approval Date
1/19/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0461 Ext: 11111
Contract Pharmacy Representative
EncompassRX
John Olsen, SVP
(404) 367-9111
Signed By Date
1/19/2018
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