Contract Pharmacy Details

CHALLENGE CARE PHARMACY
STD89128 Las Vegas Health Center

Covered Entity Details

Entity Name

Las Vegas Health Center

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD89128

Entity Address

2610 W HORIZON RIDGE PKWY STE
104
Las Vegas, NV 89052

Grant Number

6NH25PS005179-03-05

Participating Start Date

4/20/2022

Last Recertification Date

5/21/2023

Entity Termination Date

7/1/2024

Pharmacy Details

Pharmacy Name

CHALLENGE CARE PHARMACY

Pharmacy Address

CHALLENGE CARE PHARMACY LLC
6105 BEVERLYHILL ST STE 200
HOUSTON, TX 77057

Pharmacy Comments

Contract Details

Approval Date

3/5/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2021
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Valerie Agee, 340B Director
(512) 828-1656

Contract Pharmacy Representative

Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293

Signed By Date

1/15/2020

340B Drug Pricing Program Database