Our passionate, skilled staff features a network of top local pharmacists, service-oriented account managers, technology specialists, couriers, educators and more. At the center of it all is our dedicated leadership team.

Our Team

Behind every great organization is a passionate team of visionaries who recruit and train only the most dedicated and best-trained support system. Learn more about the people who lead the Skilled Care Pharmacy team.


Larry Galluzzo, R.Ph.
Chief Executive Officer

Larry is Skilled Care Pharmacy's founder and CEO. He also co-founded NetRx, a purchasing cooperative comprising owners of privately held pharmacies. Prior to starting Skilled Care Pharmacy, Larry managed a long-term care pharmacy in Cincinnati. Larry received his pharmacy degree at the University of Cincinnati.

A leader in the long-term care industry throughout the region, Larry is a member of the American Society of Consultant Pharmacists and the National Council of Prescription Drug Plans. He is also an active participant in the Senior Care Pharmacy Alliance, the Kentucky Association of Health Care Facilities, The Association of Ohio Philanthropic Homes and Housing for the Aging, the American College of Nursing Home Administrators and the Assisted Living Association of America. Want to know more? See what Larry says about Skilled Care Pharmacy.


Joe Cesta, RPH
Vice President
of Pharmacy Services


Leading the Consultant Pharmacist team, Joe is responsible for carrying out the Skilled Care Pharmacy philosophy of ensuring the senior population we serve is not overmedicated, while reducing overall costs to all payors. He also handles formulary management, individual consulting and training.

The internal pharmacist team and related departments such as Order Entry, Admissions, Upfront Processing, CII/Controlled Substances, Triage and Medical Records report through the Senior Pharmacy Manager up to Joe.

His long career in pharmacy includes positions as a nuclear pharmacy manager for Pharmatopes/Syncor in Toledo and Dayton, staff pharmacist with Meijer Pharmacy and Fidelity Prescriptions. He also owned and operated Josephs Beacon Hills Pharmacy for 17 years, providing retail and long-term care services. The pharmacy eventually evolved to become a franchise, The Medicine Shoppe, while Joe brought the long-term care business into Skilled Care Pharmacy.

Joe is active in professional organizations, including the American Society of Consultant Pharmacists, the Ohio Pharmacists Association, NetRx and the Senior Care Pharmacy Alliance. He is a graduate of Ohio Northern University with a BS in pharmacy.


Garry S. Kelly
Director of
Information Technology


As Director of Information Technology, Garry Kelly oversees a comprehensive information management system, which includes order entry, medical records, accounting, communications and other vital IT functions, as well as software development.

A graduate of Western Kentucky University with a BS in accounting, Garry has held a number of information management positions, including project manager for the Legal System Division of Business Equipment Company; accounting software customer service supervisor and accounting software training supervisor for Florists Transworld Delivery (FTD) and customer service and training coordinator for Datarose Systems, Inc.


Angela Sagraves
Pharmacy Director

Angela oversees the Pharmacists, Order Entry, Admissions, Upfront Processing, CII/Controlled Substances, Triage and Medical Records departments. She has served as a long-term care pharmacist for over 22 years. She began her career as a staff pharmacist and then moved into a leadership role over a decade ago. Angela graduated from the University of Cincinnati.


Jeff Sagraves
Purchasing Director

Jeff leads our operations team and oversees pharmaceutical purchasing and contracts. Prior to joining Skilled Care, Jeff worked in long-term care pharmacy with Pharmco, Inc. He was an integral part of their expansion effort, including multiple pharmacy start-up operations and acquisitions.

Jeff has extensive knowledge of the pharmacy industry across the Midwest, and in California and Florida. He attended the University of Cincinnati and holds a Six Sigma Green Belt Certification from Villanova University.