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RW489106 UNLV (Active)
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Main Details
Name
UNLV
Subdivision Name
UNLV Medicine
Type
Ryan White Part D
340B ID
RW489106
Grant Number
H12HA30109
Additional Details
Current Program Status
Active
Registration Date
10/9/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/9/2019
Last Recertification Date
2/25/2025
Time Period the Assistance was Received
8/1/2022 - 7/31/2026
Contacts
Authorizing Official
UNLV Medicine
Evan H Sade, Chief Compliance Officer
(702) 780-2306
Primary Contact
UNLV
Karen Gordon, Program Director
(702) 630-6395
Addresses
Street Address
1524 Pinto Lane
Las Vegas, NV 89106
Billing Address
UNLV Medicine
3016 W. Charleston Suite 100
Las Vegas, NV 89104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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