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LIFECARE PHARMACY, LLC
CHC26513-00 FIRSTMED HEALTH AND WELLNESS CENTER
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Covered Entity Details
Entity Name
FIRSTMED HEALTH AND WELLNESS CENTER
Subdivision Name
FirstMed Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26513-00
Entity Address
3343 South Eastern Ave
Las Vegas, NV 89169-3312
Grant Number
H80CS26513
Participating Start Date
4/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
LIFECARE PHARMACY, LLC
Pharmacy Address
DBA: LIFECARE PHARMACY
3050 E. DESERT INN RD.
STE#124
LAS VEGAS, NV 89121-3873
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/28/2017
Ownership change
Contacts
Covered Entity Signing Official
Luis Alfonso Rocha, CEO
(786) 328-4437
Contract Pharmacy Representative
LifeCare Specialty Pharmacy
CLETUS AMADI, Owner
(702) 697-2105
Signed By Date
7/15/2015
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