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ALBERTSONS LLC
STD890482 Sagebrush Health Services
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Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Pahrump Clinic - KSOSN
Type
Sexually Transmitted Diseases
340B ID
STD890482
Entity Address
330 South Lola Lane
Suite #200
Pahrump, NV 89048
Grant Number
6 NH25PS005179-05-02
Participating Start Date
5/1/2023
Last Recertification Date
6/4/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAV-ON PHARMACY #3207
2910 BICENTENNIAL PARKWAY
HENDERSON, NV 89044
Pharmacy Comments
Contract Details
Approval Date
5/1/2023
Contract Begin Date
6/15/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/24/2023
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