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R & G HEALTH SERVICES, INC.
STD891041 Community Outreach Medical Center
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Covered Entity Details
Entity Name
Community Outreach Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD891041
Entity Address
2080 E. Flamingo Rd.
Suite 302
Las Vegas, NV 89119-2803
Grant Number
1NH25PS005179-01-00
Participating Start Date
7/1/2019
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
R & G HEALTH SERVICES, INC.
Pharmacy Address
DBA: ALL IN ONE PHARMACY
2080 E FLAMINGO RD STE 310
LAS VEGAS, NV 89119-5181
Pharmacy Comments
Contract Details
Approval Date
10/10/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
kema ogden, Executive Director
(702) 604-6052
Contract Pharmacy Representative
All in One Pharmacy
Edgar Gonzalez, Pharmacist
(702) 697-6501
Signed By Date
10/10/2019
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