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ASPCARES
RWI89107 Southern Nevada Health District
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Covered Entity Details
Entity Name
Southern Nevada Health District
Subdivision Name
SOUTHERN NEVADA COMMUNITY HEALTH CENTER - RWA
Type
Ryan White Part A
340B ID
RWI89107
Entity Address
280 S. Decatur Blvd.
Las Vegas, NV 89107-2936
Grant Number
H89HA06900
Participating Start Date
10/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
ASPCARES
Pharmacy Address
501 S RANCHO DR STE G46
LAS VEGAS, NV 89106-4835
Pharmacy Comments
Contract Details
Approval Date
4/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Shannon, Director of Administration
(702) 759-1691
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
4/9/2019
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