Contract Pharmacy Details

PHARMA BUDDIES CORP
STD891284 Sagebrush Health Services

Entity Name

Sagebrush Health Services

Subdivision Name

Fire Mesa Rheumatology

Type

Sexually Transmitted Diseases

340B ID

STD891284

Entity Address

2435 Fire Mesa Street
Suite 110
Las Vegas, NV 89128

Grant Number

6 NH25PS005179-05-02

Participating Start Date

5/1/2023

Last Recertification Date

5/19/2023

Pharmacy Name

PHARMA BUDDIES CORP

Pharmacy Address

ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809

Pharmacy Comments

Approval Date

5/1/2023

Contract Begin Date

5/9/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jami Dybik, Vice President
(843) 814-5177

Signed By Date

4/5/2023

Contract Pharmacy Representative

Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988