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NEVADA CVS PHARMACY, L.L.C.
STD89101 The Gay and Lesbian Community Center of Southern Nevada
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Covered Entity Details
Entity Name
The Gay and Lesbian Community Center of Southern Nevada
Subdivision Name
Southern Nevada Health District
Type
Sexually Transmitted Diseases
340B ID
STD89101
Entity Address
401 S. Maryland Pkwy
Las Vegas, NV 89101
Grant Number
NH25PS005179
Participating Start Date
4/1/2020
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
NEVADA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08794
1600 N. BUFFALO DRIVE
LAS VEGAS, NV 89128
Pharmacy Comments
Contract Details
Approval Date
10/11/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Waldron, CEO
(702) 802-5400
Contract Pharmacy Representative
CVS Health/Wellpartner
Marcia Appolonia, National Sales Executive
(919) 606-7977
Signed By Date
10/11/2024
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