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WALGREEN CO.
RWIID83 STATE OF NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH
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Covered Entity Details
Entity Name
STATE OF NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH
Subdivision Name
Ryan White Part B - ADAP
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID83
Entity Address
2290 S. Jones
Suite
110
Las Vegas, NV 89146
Grant Number
X07HA00001
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07864
7755 N DURANGO DR
LAS VEGAS, NV 89131-8190
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/16/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tory Wayne Johnson, Health Program Manager II
(702) 486-0767
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2020
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