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RB SPECIALITY GROUP LLC
STD41143 Fresh Start Health PSC
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Covered Entity Details
Entity Name
Fresh Start Health PSC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD41143
Entity Address
207 N Carol Malone Blvd
Ste. 3
Grayson, KY 41143
Grant Number
6NH25PS005135-05-06
Participating Start Date
4/1/2023
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
RB SPECIALITY GROUP LLC
Pharmacy Address
D/B/A RB SPECIALTY
124 PROFESSIONAL AVE
WINCHESTER, KY 40391
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerrel Boyer, Medical Director
(606) 923-1124 Ext: 6062258298
Contract Pharmacy Representative
Med-Save 2 LLC
Davd Ruth, COO
(859) 321-9972
Signed By Date
1/14/2025
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