340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEALTHYRX PHARMACY LLC
STD3280613 Sunshine Specialty Health Outreach Foundation
Print
Covered Entity Details
Entity Name
Sunshine Specialty Health Outreach Foundation
Subdivision Name
Delta Internal Medicine Center
Type
Sexually Transmitted Diseases
340B ID
STD3280613
Entity Address
220 E. Gore Street
Suite 202
Orlando, FL 32806
Grant Number
5NU62PS9224532-02
Participating Start Date
4/1/2024
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
HEALTHYRX PHARMACY LLC
Pharmacy Address
DBA-HEALTHYRX PHARMACY
650 NW 120TH ST
NORTH MIAMI, FL 33168
Pharmacy Comments
Contract Details
Approval Date
2/7/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jillian Hall, CEO
(407) 888-5980
Contract Pharmacy Representative
HEALTHYRX PHARMACY LLC
Sowjanya Shakhamoori, PHARMACIST
(813) 626-7353
Signed By Date
1/12/2024
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