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PHARMA BUDDIES CORP
STD89149 Sagebrush Health Services
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Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Hummingbird Medical Group
Type
Sexually Transmitted Diseases
340B ID
STD89149
Entity Address
5550 Painted Mirage Rd.
110
Las Vegas, NV 89149
Grant Number
6 NH25PS005179-05-03
Participating Start Date
11/29/2022
Last Recertification Date
6/4/2024
Entity Termination Date
1/14/2025
Pharmacy Details
Pharmacy Name
PHARMA BUDDIES CORP
Pharmacy Address
ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
11/29/2022
Contract Begin Date
12/15/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Vladimir Abadjiev, Operations Manager
(702) 526-3146
Contract Pharmacy Representative
Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988
Signed By Date
10/16/2022
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