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SUNRISE PHARMACY LLC
STD333193 Lauderdale Health Foundation, INC
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Covered Entity Details
Entity Name
Lauderdale Health Foundation, INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD333193
Entity Address
4000 N. State Road 7
Suite 103
Lauderdale Lakes, FL 33319
Grant Number
NH25PS005131
Participating Start Date
1/1/2025
Last Recertification Date
5/19/2025
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
11/20/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jean Pierre, President
(305) 834-8585
Contract Pharmacy Representative
Lauderdale Pharmacy
OLUWOLE A OLUMIDE, PharmD, R.Ph
(954) 530-7171
Signed By Date
10/6/2024
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