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TRINITY PHARMACY LLC
STD890742 LifeCare Partners
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Covered Entity Details
Entity Name
LifeCare Partners
Subdivision Name
Olive Healthcare
Type
Sexually Transmitted Diseases
340B ID
STD890742
Entity Address
105 N. Pecos Road
Suite 111
Henderson, NV 89074
Grant Number
NH25PS005179-05-04
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
TRINITY PHARMACY LLC
Pharmacy Address
TRINITY PHARMACY
2797 S. MARYLAND PKWY., STE 28
LAS VEGAS, NV 89109-8910
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vladimir Abadjiev, COO
(702) 526-3146
Contract Pharmacy Representative
Trinity Pharmacy LLC
Sanjay Veerkar, CEO
(702) 776-8210
Signed By Date
10/15/2024
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