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TRINITY PHARMACY LLC
STD891192 LifeCare Partners
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Covered Entity Details
Entity Name
LifeCare Partners
Subdivision Name
ACHA Burnham Office
Type
Sexually Transmitted Diseases
340B ID
STD891192
Entity Address
4275 Burnham Ave
Suite 220
Las Vegas, NV 89119
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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