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ALLURE PHARMACY
CHC30721-00 Silver State Health Services
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Covered Entity Details
Entity Name
Silver State Health Services
Subdivision Name
Silver State Health Services
Type
HRSA-Funded Health Center
340B ID
CHC30721-00
Entity Address
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Grant Number
H80CS30721
Participating Start Date
10/1/2018
Last Recertification Date
2/3/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
ALLURE PHARMACY
Pharmacy Address
BBK GLOBAL CORP. DBA
11670 SAN VICENTE BLVD STE A
LOS ANGELES, CA 90049-5127
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Miyaoka, CEO
(702) 287-6575
Contract Pharmacy Representative
Allure Pharmacy
Behdad Kadkhoda, Owner
(310) 738-5656
Signed By Date
7/17/2023
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