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GUARDIAN PHARMACY LLC
STD328111 Aum International Foundation, Inc.
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Covered Entity Details
Entity Name
Aum International Foundation, Inc.
Subdivision Name
J C Medical Center
Type
Sexually Transmitted Diseases
340B ID
STD328111
Entity Address
453 N Kirkman Road
Suite 203
Orlando, FL 32811
Grant Number
5H25PS004342
Participating Start Date
4/1/2020
Last Recertification Date
5/7/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
GUARDIAN PHARMACY LLC
Pharmacy Address
483 N SEMORAN BLVD STE 109
WINTER PARK, FL 32792-3800
Pharmacy Comments
Contract Details
Approval Date
2/24/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ganesh Ramachandran, President
(407) 970-5253
Contract Pharmacy Representative
Guardian Pharmacy LLC
Siva Kondapalli, President
(407) 790-4509
Signed By Date
2/21/2020
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