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SUNRISE PHARMACY OF KISSIMMEE LLC
STD347413 Aum International Foundation, Inc.
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Covered Entity Details
Entity Name
Aum International Foundation, Inc.
Subdivision Name
Enrique Gutierrez, M.D., P.A.
Type
Sexually Transmitted Diseases
340B ID
STD347413
Entity Address
907 N Central Ave
A
Kissimmee, FL 34741
Grant Number
5H25PS004342
Participating Start Date
8/3/2020
Last Recertification Date
5/7/2024
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
8/3/2020
Contract Begin Date
8/5/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ganesh Ramachandran, President
(407) 970-5253
Contract Pharmacy Representative
Sunrise Pharmacy
Ajay Kolla, CEO
(407) 343-4434
Signed By Date
7/14/2020
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