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ENCOMPASS RX, LLC
STD33139 CAN Community Health, Inc.
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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
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
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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