340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SUNRISE PHARMACY OF KISSIMMEE LLC
STD34746 Positive Assistance, Inc.
Print
Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
La Majesty Healthcare, LLC
Type
Sexually Transmitted Diseases
340B ID
STD34746
Entity Address
1674 Pleasant Hill Rd
Kissimmee, FL 34746
Grant Number
5NU62PS924532-02
Participating Start Date
4/1/2021
Last Recertification Date
5/20/2022
Entity Termination Date
7/1/2023
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
4/10/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
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
4/10/2021
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