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RECEPT PHARMACY # 75
RWI89106 COMMUNITY OUTREACH MEDICAL CENTER
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Covered Entity Details
Entity Name
COMMUNITY OUTREACH MEDICAL CENTER
Subdivision Name
Type
Ryan White Part A
340B ID
RWI89106
Entity Address
2080 E. Flamingo Rd
Suite 302
Las Vegas, NV 89119
Grant Number
H89HA06900
Participating Start Date
4/1/2006
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
RECEPT PHARMACY # 75
Pharmacy Address
10412 VISTA DEL SOL DR STE 1A
EL PASO, TX 79925
Pharmacy Comments
Contract Details
Approval Date
4/6/2021
Contract Begin Date
4/8/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
kema ogden, Executive Director
(702) 604-6052
Contract Pharmacy Representative
Recept Pharmacy
Samantha Burford, Director of 340B Client Services
(817) 602-2332
Signed By Date
4/6/2021
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