340B Drug Pricing Program Database
NEVADA CVS PHARMACY, L.L.C.
STD891285 Sagebrush Health Services - information as of 5/17/2025 12:32:08 AM
Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Box Canyon SACI
Type
Sexually Transmitted Diseases
340B ID
STD891285
Entity Address
2615 Box Canyon Dr
Las Vegas, NV 89128
Grant Number
6 NH25PS005179-05-03
Participating Start Date
5/1/2023
Last Recertification Date
6/4/2024
Entity Termination Date
1/14/2025
Pharmacy Details
Pharmacy Name
NEVADA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08824
4411 E. BONANZA RD
LAS VEGAS, NV 89110
Pharmacy Comments
Contract Details
Approval Date
5/1/2023
Contract Begin Date
6/7/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/6/2023
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