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BVA UNITED 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
6 NH25PS005179-05-03
Participating Start Date
10/1/2023
Last Recertification Date
6/11/2024
Pharmacy Details
Pharmacy Name
BVA UNITED PHARMACY
Pharmacy Address
8845 SIX PINES DR STE 201
SHENANDOAH, TX 77380-2675
Pharmacy Comments
Contract Details
Approval Date
1/28/2024
Contract Begin Date
4/1/2024
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
BVA UNITED PHARMACY
Jolene Burton, PIC
(281) 465-1767
Signed By Date
1/28/2024
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