EVERWELL SPECIALTY PHARMACY, LLC

Contacts

Phone	+1 850-473-9190

Authorized person

Name	BRANDON CONTI
Role	PIC
Phone	8504739190

Taxonomy

Taxonomy Code	3336M0002X - Mail Order Pharmacy
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	325410
Sponsor’s telephone number	8504739190
Plan sponsor’s address	6506 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32504

Signature of

Role	Plan administrator
Date	2023-10-13
Name of individual signing	SUSANN CAPUTO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	325410
Sponsor’s telephone number	8504739190
Plan sponsor’s address	6506 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32504

Signature of

Role	Plan administrator
Date	2022-10-14
Name of individual signing	SUSANN CAPUTO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	325410
Sponsor’s telephone number	8504739190
Plan sponsor’s address	6506 NORTH DAVIS HIGHWAY, PENSACOLA, FL, 32504

Signature of

Role	Plan administrator
Date	2021-09-27
Name of individual signing	JENNIFER PACK
Valid signature	Filed with authorized/valid electronic signature