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NEVADA CVS PHARMACY, L.L.C.
STD89123 Sagebrush Health Services
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Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Eastern Rheumatology
Type
Sexually Transmitted Diseases
340B ID
STD89123
Entity Address
8440 South Eastern Avenue
Suite A
Las Vegas, NV 89123
Grant Number
NH25PS005179
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
NEVADA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08822
2594 WIGWAM PKWY
HENDERSON, NV 89074
Pharmacy Comments
Contract Details
Approval Date
6/26/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mithila Urs, Director
(714) 797-8666
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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