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TRINITY PHARMACY LLC
STD891021 LifeCare Partners
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Covered Entity Details
Entity Name
LifeCare Partners
Subdivision Name
Horizon View Medical Clinic
Type
Sexually Transmitted Diseases
340B ID
STD891021
Entity Address
1730 W. Horizon Ridge Pkwy
Suite 100
Henderson, NV 89102
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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