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LONGS DRUG STORES CALIFORNIA, L.L.C.
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
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09981
3240 US HIGHWAY 50 E
CARSON CITY, NV 89701
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
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
10/14/2022
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