Contract Pharmacy Details

SUDDHA PHARMACY, LLC
STD33487 Life Resources LLC

Covered Entity Details

Entity Name

Life Resources LLC

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD33487

Entity Address

1157 S. State Road 7
Wellington, FL 33414

Grant Number

NH25PS004342

Participating Start Date

4/1/2021

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

SUDDHA PHARMACY, LLC

Pharmacy Address

FEDCO DRUGS
255 SUNRISE AVE
PALM BEACH, FL 33480

Pharmacy Comments

Contract Details

Approval Date

1/3/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jon Craig Arenstein, CEO/President
(561) 234-6599

Contract Pharmacy Representative

Fedco Drugs
Dee Patel, Owner
(561) 833-3348

Signed By Date

1/3/2023