340B Drug Pricing Program Database
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R & G HEALTH SERVICES, INC.
STD891011 John Phoenix APRN, PLLC
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Covered Entity Details
Entity Name
John Phoenix APRN, PLLC
Subdivision Name
Huntridge Family Clinic
Type
Sexually Transmitted Diseases
340B ID
STD891011
Entity Address
The Gay and Lesbian Center
401 S. Maryland Parkway
Las Vegas, NV 89101
Grant Number
5 NH25PS005179-02-00
Participating Start Date
4/1/2020
Last Recertification Date
5/10/2021
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
R & G HEALTH SERVICES, INC.
Pharmacy Address
DBA: ALL IN ONE PHARMACY
2080 E FLAMINGO RD STE 310
LAS VEGAS, NV 89119-5181
Pharmacy Comments
Contract Details
Approval Date
3/5/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John Phoenix, Chief Clinical Officer
(702) 979-1111
Contract Pharmacy Representative
R&G Health Services
Jorge Zatarain, pharmacy tech
(702) 697-6501
Signed By Date
1/6/2020
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