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VRX2 LLC DBA AVANCE CARE PHARMACY
STD891132 Sagebrush Health Services
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Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Battleborn Health Care
Type
Sexually Transmitted Diseases
340B ID
STD891132
Entity Address
8379 W Sunset Rd
Suite 210
Las Vegas, NV 89113
Grant Number
NH25PS005179
Participating Start Date
10/1/2023
Last Recertification Date
6/12/2025
Pharmacy Details
Pharmacy Name
VRX2 LLC DBA AVANCE CARE PHARMACY
Pharmacy Address
1 MEDICAL DR STE B
BENSON, NC 27504
Pharmacy Comments
Contract Details
Approval Date
8/21/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
Avance Care Pharmacy
Sarah Hall, Director
(919) 322-4726
Signed By Date
7/17/2023
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