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WARM SPRINGS ROAD CVS, L.L.C.
CHC31240-00 FIRST PERSON CARE CLINIC
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Covered Entity Details
Entity Name
FIRST PERSON CARE CLINIC
Subdivision Name
First Person Care Clinic
Type
HRSA-Funded Health Center
340B ID
CHC31240-00
Entity Address
1200 S 4TH ST
111
LAS VEGAS, NV 89104-1046
Grant Number
H80CS31240
Participating Start Date
4/1/2018
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WARM SPRINGS ROAD CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17465
350 W LAKE MEAD PKWY
HENDERSON, NV 89015
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/2/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Roxana Valeton, CEO
(305) 303-8108
Contract Pharmacy Representative
First Person Care Clinic
Roxana Valeton, CEO
(305) 303-8108
Signed By Date
7/15/2019
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