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SUNRISE PHARMACY OF KISSIMMEE LLC
RW424835D University of South Florida, College of Public Health
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Covered Entity Details
Entity Name
University of South Florida, College of Public Health
Subdivision Name
Positively U
Type
Ryan White Part D
340B ID
RW424835D
Entity Address
1419 West Waters Avenue
Suite 117
Tampa, FL 33604
Grant Number
H12HA24835
Participating Start Date
7/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
SUNRISE PHARMACY OF KISSIMMEE LLC
Pharmacy Address
SUNRISE PHARMACY
4543 PLEASANT HILL RD STE D
KISSIMMEE, FL 34759-3406
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Janet Kitchen, Executive Director
(813) 857-2974
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
10/12/2017
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