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 Galluzzo graduated from the University of Cincinnati’s College of Pharmacy in 1972.  After graduation, he was employed by a long term care Pharmacy for a few years before becoming the manager until 1981.   That year he started Skilled Care Pharmacy in a 485 sq. ft. office in Springdale, Ohio and due to growth relocated his pharmacy four times and now operates Skilled Care Pharmacy from a 40,000 sq. ft. building in Mason, Ohio. His interpersonal skills shine thru as a co-founder of NetRx, a purchasing group comprised of owners of privately held pharmacies, Excel GSO, a group service organization and DNA, the Board for the software company RNA.  Larry has been quite active advocating for long term care pharmacy and the respect and dignity of our residents living in long term care facilities. His active membership in The American Society of Consultant Pharmacy (ASCP) and The National Community Pharmacists Association (NCPA) has led him to Washington DC making many appearances in front of Congressional sub-committees educating our law makers on the many services and advantages to long term care pharmacy and the vital role they play as consultants in medication management for our elderly. His membership in organizations such as the American Health Care Association, LeadingAge and The American College of Health Care Administrators has helped these organizations better understand the value pharmacists bring to their communities.  Over the years Larry’s company has been recognized as a leader in the community by honoring Skilled Care Pharmacy as one of the top businesses in the community and as a Top Workplace as recent as 2020.  Still after almost forty years as owner and CEO of Skilled Care Pharmacy, Larry continues his passion advocating for the respect and dignity of our elderly.


Joe Cesta, RPH
President

Joe Cesta’s long career in pharmacy began with a position as nuclear pharmacist for Pharmatopes/Syncor in Toledo, Ohio, shortly thereafter he was promoted to the Manager of their Dayton, Ohio location. Desiring to own his own pharmacy, Joe took a position as a staff pharmacist with Meijer Pharmacy in Middletown, Ohio and then Fidelity Prescriptions in Centerville, Ohio, before opening his own pharmacy, Joseph’s Beacon Hills Pharmacy in 1987, in Cincinnati, Ohio, serving retail and the long-term care market. In 1996, he joined forces with Larry Galluzzo and Skilled Care Pharmacy, forming a PIP, Beacon Skilled Care Pharmacy with Joe as the President. His retail operation was converted into a franchise, The Medicine Shoppe.  As the President of Beacon Skilled Care Pharmacy, Joe successfully integrated the two long-term care pharmacies. Joe was also the Director of both the internal and external Clinical Pharmacist teams for Skilled Care Pharmacy. In this role, he was responsible for carrying out the companies’ philosophy of insuring the senior population we serve is not overmedicated, while reducing overall costs to all payors, along with formulary management, training, and individual consulting with patients when appropriate. The pharmacist team is very active mentoring and serving as a clinical site rotation for the Pharmacy schools throughout the state of Ohio, working with 30-40 students each year. He was also the managing partner for Skilled Care Direct, the retail division of the parent company. Skilled Care Direct utilized automation and specialized in adherence packaging for complex drug regimens, assisting in the proper administration of multiple medications, the consulting pharmacist was also integrated into the process, to assist the patients with their needs. In 2013, Beacon Skilled Care Pharmacy merged into Skilled Care Pharmacy to streamline operations. Then, in 2016, Joe became the President of Skilled Care Pharmacy. Licensed as a Pharmacist in the states of Ohio and Indiana, Joe is active in professional organizations, including the American Society of Consultant Pharmacists, the Ohio Pharmacists Association, NetRx and the Senior Care Pharmacy Alliance, and is a graduate of the Ohio Northern University with a BS in Pharmacy. Joe serves on the Advisory Board for the industry leading GPO, MHA-Managed Health Care Associates.


Garry S. Kelly
Chief Information Officer

Garry is a graduate of Western Kentucky University, 1991, Bachelor of Science in Accounting. He joined Skilled Care in March of 1996 as the Director of Information Technology and has served on the Leadership team since that time. Garry and his department oversee a comprehensive pharmacy information management system which encompasses vital components of the operation from integrating pharmacy and customer electronic health records and order management, document management, accounting, communications and other ancillary functions. He has served on local, regional and national boards and committees.

Prior to joining Skilled Care, Garry served as the Customer Service Manager and Training Supervisor for the accounting software applications of Florist Transworld Delivery (FTD) providing technical and installation support to its members.


Angela Sagraves
VP of Pharmacy Services

Angela Sagraves has been in long-term care pharmacy since 1993, when she started with Skilled Care as a pharmacy intern. After working ten years at another regional long-term care pharmacy, and a year in the retail sector, she returned to Skilled Care in a leadership role in 2007.

Angela is currently responsible for all dispensing and regulatory departments, as well as our external support team. She also oversees our pharmacy operation in Broadview Heights, which serves northern Ohio.


Jeff Sagraves
VP of Business Operations

Jeff joined the Skilled Care team in 2004 and currently leads our finance and business operation teams and oversees pharmaceutical purchasing and contracting. Prior to joining Skilled Care, he got his start in long-term care pharmacy with Pharmco, Inc. in 1994. While with Pharmco, he was an integral part of expansion, including multiple pharmacy start-up operations as well as acquisitions. He has extensive knowledge of the pharmacy industry in multiple states across the Midwest, as well as California and Florida. He attended the University of Cincinnati and holds a Six Sigma Green Belt Certification from Villanova University.