340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SUNRISE PHARMACY OF KISSIMMEE LLC
STD328193 Positive Assistance, INC.
Print
Covered Entity Details
Entity Name
Positive Assistance, INC.
Subdivision Name
Health Specialists Of Central Florida
Type
Sexually Transmitted Diseases
340B ID
STD328193
Entity Address
6900 Turkey Lake Rd,
Suite 1-1
Orlando, FL 32819
Grant Number
5NU62PS924532-02
Participating Start Date
7/1/2020
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
6/1/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andre J Antenor, President
(863) 242-3322
Contract Pharmacy Representative
Sunrise Pharmacy
Ajay Kolla, CEO
(407) 343-4434
Signed By Date
5/29/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session