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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CHC26605-00 NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
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Covered Entity Details
Entity Name
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Subdivision Name
.
Type
HRSA-Funded Health Center
340B ID
CHC26605-00
Entity Address
580 W 5th St
Reno, NV 89503-4432
Grant Number
H80CS26605
Participating Start Date
4/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sharon Chamberlain, Chief Executive Officer
(775) 348-2895
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2022
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