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PRXP OF CA LLC
LifeCare Partners
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Covered Entity Details
Entity Name
LifeCare Partners
Subdivision Name
Infectious Disease Specialists
Type
Sexually Transmitted Diseases
340B ID
Entity Address
10001 S Eastern Ave Ste 307 Henderson, NV 89052
Ste 307
Henderson, NV 89052
Grant Number
NH25PS005179-05-04
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
PRXP OF CA LLC
Pharmacy Address
PRXP OF CA LLC
4345 E LOWELL ST
STE C & D
ONTARIO, CA 91761
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Vladimir Abadjiev, COO
(702) 526-3146
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
4/15/2025
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