340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BUDDY'S PHARMACY LLC
STD891441 Sagebrush Health Services
Print
Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
New Eyes - Summerlin Clinic
Type
Sexually Transmitted Diseases
340B ID
STD891441
Entity Address
10105 Banburry Cross Dr.
Suite 255
Las Vegas, NV 89144
Grant Number
6 NH25PS005179-03-05
Participating Start Date
5/1/2023
Last Recertification Date
5/18/2023
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
BUDDY'S PHARMACY LLC
Pharmacy Address
BUDDY'S PHARMACY
3035 S MARYLAND PKWY STE 120
LAS VEGAS, NV 89109-2202
Pharmacy Comments
Contract Details
Approval Date
5/5/2023
Contract Begin Date
5/25/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
PharmFood Group
Harry Patel, Operations Manager
(973) 362-6086
Signed By Date
5/5/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session