Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09157AG NEVADA HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

NEVADA HEALTH CENTERS, INC.

Subdivision Name

LAS VEGAS OUTREACH CLINIC

Type

HRSA-Funded Health Center

340B ID

CH09157AG

Entity Address

1450 N Main St
LAS VEGAS, NV 89101

Grant Number

H80CS00818

Participating Start Date

4/1/2013

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09842
1980 N CARSON ST
CARSON CITY, NV 89701

Pharmacy Comments

Contract Details

Approval Date

1/13/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kathryn Triplett, CFO
(775) 888-6632

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/13/2023

340B Drug Pricing Program Database