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R & G HEALTH SERVICES, INC.
RWI891041 John Phoenix APRN PLLC
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Covered Entity Details
Entity Name
John Phoenix APRN PLLC
Subdivision Name
Huntridge Family Clinic/CAN Community Health
Type
Ryan White Part A
340B ID
RWI891041
Entity Address
1820 E. Sahara Ave
Suite 201
Las Vegas, NV 89104
Grant Number
H89HA06900
Participating Start Date
7/1/2022
Last Recertification Date
1/31/2023
Entity Termination Date
1/1/2024
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
11/28/2022
Contract Begin Date
11/29/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John Phoenix, Chief Clinical Officer
(702) 979-1111
Contract Pharmacy Representative
All in One Pharmacy
Edgar Gonzalez, Pharmacist
(702) 697-6501
Signed By Date
11/28/2022
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