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WALGREEN CO.
CH09157AW NEVADA HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
NEVADA HEALTH CENTERS, INC.
Subdivision Name
Pahrump Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09157AW
Entity Address
1430 E Calvada Blvd
Pahrump, NV 89048-5824
Grant Number
H80CS00818
Participating Start Date
1/1/2025
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05646
770 S HWY 160
PAHRUMP, NV 89048
Pharmacy Comments
Contract Details
Approval Date
10/30/2024
Contract Begin Date
1/1/2025
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
10/29/2024
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