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SUNRISE PHARMACY OF KISSIMMEE LLC
STD3280511 Center for Multicultural Wellness & Prevention
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Covered Entity Details
Entity Name
Center for Multicultural Wellness & Prevention
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD3280511
Entity Address
1685 Lee Road
Suite 200
Winter Park, FL 32789
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2020
Last Recertification Date
5/20/2024
Pharmacy Details
Pharmacy Name
SUNRISE PHARMACY OF KISSIMMEE LLC
Pharmacy Address
SUNRISE PHARMACY
4543 PLEASANT HILL RD STE D
KISSIMMEE, FL 34759-3406
Pharmacy Comments
Contract Details
Approval Date
11/20/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marie Jose Francois, CEO
(407) 648-9440 Ext: 16
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
10/15/2019
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