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CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CHC26605-00 NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
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Covered Entity Details
Entity Name
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Subdivision Name
.
Type
HRSA-Funded Health Center
340B ID
CHC26605-00
Entity Address
580 W 5th St
Reno, NV 89503-4432
Grant Number
H80CS26605
Participating Start Date
4/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sharon Chamberlain, Chief Executive Officer
(775) 348-2895
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2020
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