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NEVADA CVS PHARMACY, L.L.C.
RWI89109 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF Healthcare Center - Las Vegas
Type
Ryan White Part A
340B ID
RWI89109
Entity Address
3201 S. Maryland Pkwy. Suite 218
Las Vegas, NV 89109
Grant Number
H89HA06900
Participating Start Date
7/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
NEVADA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08784
8116 S LAS VEGAS BLVD
LAS VEGAS, NV 89123
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2023
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