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AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
STD3280612 Sunshine Specialty Health Outreach Foundation
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Covered Entity Details
Entity Name
Sunshine Specialty Health Outreach Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD3280612
Entity Address
220 E. Gore St
Orlando, FL 32806
Grant Number
5nu62ps924532-02
Participating Start Date
10/12/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
Pharmacy Address
8601 COMMODITY CIR, SUITE 105
ORLANDO, FL 32819-9003
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
10/12/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/7/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jillian Hall, President
(407) 325-1299
Contract Pharmacy Representative
Avita
Jeff Paramore, Account Executive
(404) 909-5000
Signed By Date
9/28/2022
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