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PRXP OF NEW YORK LLC
LifeCare Partners
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Covered Entity Details
Entity Name
LifeCare Partners
Subdivision Name
A+ Urgent Care
Type
Sexually Transmitted Diseases
340B ID
Entity Address
4472 S Eastern Ave
Las Vegas, NV 89119
Grant Number
NH25PS005179-05-04
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
PRXP OF NEW YORK LLC
Pharmacy Address
DBA BROADWAY FAMILY PHARMACY
601 AMSTERDAM AVE
NEW YORK, NY 10024
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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