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NASHVILLE PHARMACY SERVICES, LLC
STD23669 LGBT Life Center
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Covered Entity Details
Entity Name
LGBT Life Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD23669
Entity Address
20 Settlers Landing
Hampton, VA 23669
Grant Number
5NU62PS924750-04-00
Participating Start Date
1/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
NASHVILLE PHARMACY SERVICES, LLC
Pharmacy Address
DBA NPS PHARMACY VA01
20 SETTLERS LANDING RD
HAMPTON, VA 23669
Pharmacy Comments
Contract Details
Approval Date
11/20/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stacie Walls-Beegle, CEO
(757) 640-0929 Ext: 215
Contract Pharmacy Representative
NPS
John Winnett, Chief Strategy Officer
(615) 831-2291 Ext: 301
Signed By Date
10/15/2024
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