340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SUNRISE PHARMACY LLC
STD330563 Optimal Health Foundation Inc
Print
Covered Entity Details
Entity Name
Optimal Health Foundation Inc
Subdivision Name
Optimal Health Foundation
Type
Sexually Transmitted Diseases
340B ID
STD330563
Entity Address
17235 NW 27th Avenue
Miami Gardens, FL 33056
Grant Number
NH25PS005131
Participating Start Date
4/1/2021
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
SUNRISE PHARMACY LLC
Pharmacy Address
DBA LAUDERDALE PHARMACY
4000 N STATE ROAD 7 STE 103
LAUDERDALE LAKES, FL 33319-4816
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristen Hollist, Program Director
(727) 463-2477
Contract Pharmacy Representative
Lauderdale Pharmacy
OLUWOLE A OLUMIDE, PharmD, R.Ph
(954) 530-7171
Signed By Date
10/14/2022
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