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ALTO PHARMACY
CHC30721-00 Silver State Health Services
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Covered Entity Details
Entity Name
Silver State Health Services
Subdivision Name
Silver State Health Services
Type
HRSA-Funded Health Center
340B ID
CHC30721-00
Entity Address
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Grant Number
H80CS30721
Participating Start Date
10/1/2018
Last Recertification Date
2/3/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
ALTO PHARMACY
Pharmacy Address
600 PILOT RD STE A
LAS VEGAS, NV 89119-9011
Pharmacy Comments
Contract Details
Approval Date
7/27/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ryan Linden, CEO
(702) 937-3418
Contract Pharmacy Representative
Alto Pharmacy
Jaime LaFontaine, Director of Enterprise
(916) 539-4587
Signed By Date
7/27/2021
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