Healthcare Provider Details

I. General information

NPI: 1154912228
Provider Name (Legal Business Name): CAN COMMUNITY HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 MATLOCK CENTRE CIR
ARLINGTON TX
76015-2535
US

IV. Provider business mailing address

2105 N NEBRASKA AVE
TAMPA FL
33602-2558
US

V. Phone/Fax

Practice location:
  • Phone: 844-370-6204
  • Fax: 866-950-0295
Mailing address:
  • Phone: 813-871-5161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HANSIL KALARIA
Title or Position: CHIEF PHARMACY OFFICER
Credential:
Phone: 813-871-5161