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ASPCARES
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
ASPCARES
Pharmacy Address
501 S RANCHO DR STE G46
LAS VEGAS, NV 89106-4835
Pharmacy Comments
Contract Details
Approval Date
4/24/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alisha Barrett, ASSISTANT MANAGER
(702) 455-1071
Contract Pharmacy Representative
Wajma Popal, Operations Manager
(214) 919-2090 Ext: 302
Signed By Date
4/24/2017
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