340B Drug Pricing Program Database
WARM SPRINGS ROAD CVS, L.L.C.
STD89144 Sagebrush Health Services - information as of 6/14/2025 10:26:10 AM
Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Summerlin Clinic - KSOSN
Type
Sexually Transmitted Diseases
340B ID
STD89144
Entity Address
653 N Town Center Drive
Building 2, Suite 70
Las Vegas, NV 89144
Grant Number
6 NH25PS005179-05-03
Participating Start Date
5/1/2023
Last Recertification Date
6/4/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WARM SPRINGS ROAD CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16854
4155 S GRAND CANYON DR
LAS VEGAS, NV 89147
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
1/1/2025
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
4/15/2023
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