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PHARMA BUDDIES CORP
STD891201 LifeCare Partners
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Covered Entity Details
Entity Name
LifeCare Partners
Subdivision Name
ACHA Green Valley Office
Type
Sexually Transmitted Diseases
340B ID
STD891201
Entity Address
7305 South Pecos Road
Suite 102
Las Vegas, NV 89120
Grant Number
NH25PS005179-05-04
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
PHARMA BUDDIES CORP
Pharmacy Address
ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
9/19/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vladimir Abadjiev, COO
(702) 526-3146
Contract Pharmacy Representative
Central Pharmacy
Abish Thomas, PharmD.
(863) 419-7777
Signed By Date
7/15/2024
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