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WALGREEN CO.
CH09157AP NEVADA HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
NEVADA HEALTH CENTERS, INC.
Subdivision Name
Nevada Children's Health Project
Type
HRSA-Funded Health Center
340B ID
CH09157AP
Entity Address
1799 Mount Mariah Dr,
Las Vegas, NV 89106-1501
Grant Number
H80CS00818
Participating Start Date
1/1/2019
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04086
4470 E. BONANZA ROAD
LAS VEGAS, NV 89110
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
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/13/2023
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