DEPARTMENT OF INSURANCE

Name	Slate Rx, LLC	DOIID	1317275	NAIC NPN	21031180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Pharmacy Benefit Managers	Not Applicable	1/18/2024		3/31/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Pharmacy Benefit Managers	01/15/2025	03/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	9060 W Cheyenne Ave Las Vegas, NV 89129

Phone Information

Type	Phone
Business / Home Office	(888) 915-9135
Business / Home Office	(413) 265-1260