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NEVADA CVS PHARMACY, L.L.C.
STD89127 SOUTHERN NEVADA HEALTH DISTRICT
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Covered Entity Details
Entity Name
SOUTHERN NEVADA HEALTH DISTRICT
Subdivision Name
Sexual Health Clinic
Type
Sexually Transmitted Diseases
340B ID
STD89127
Entity Address
280 S. Decatur Blvd.
LAS VEGAS, NV 89107-2936
Grant Number
NH25PS005179
Participating Start Date
1/1/2004
Last Recertification Date
5/20/2025
Pharmacy Details
Pharmacy Name
NEVADA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08819
4800 W. CHARLESTON BLVD
LAS VEGAS, NV 89146
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Norlon Munroe, Controller
(702) 759-1540
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2022
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