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WARM SPRINGS ROAD CVS, L.L.C.
STD891013 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
STD891013
Entity Address
921 S. Las Vegas Blvd
Las Vegas, NV 89101
Grant Number
NH25PS005179
Participating Start Date
7/1/2024
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
WARM SPRINGS ROAD CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04784
3270 S. BUFFALO DR.
LAS VEGAS, NV 89117
Pharmacy Comments
Contract Details
Approval Date
10/11/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/17/2024
Pharmacy closed
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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