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SPECIALTY CARE RX
STD891132 Sagebrush Health Services
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Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Battleborn Health Care
Type
Sexually Transmitted Diseases
340B ID
STD891132
Entity Address
8379 W Sunset Rd
Suite 210
Las Vegas, NV 89113
Grant Number
6 NH25PS005179-05-03
Participating Start Date
10/1/2023
Last Recertification Date
6/11/2024
Pharmacy Details
Pharmacy Name
SPECIALTY CARE RX
Pharmacy Address
801 S RANCHO DR STE D1-A
LAS VEGAS, NV 89106-3854
Pharmacy Comments
Contract Details
Approval Date
10/30/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
PPC LLC
Jeff Griffith, Partner / Cheif Business Development Office
(714) 602-9571
Signed By Date
10/30/2024
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