340B Drug Pricing Program Database
HARRIS PHARMACY
CH080030 VALLEY-WIDE HEALTH SYSTEMS, INC. - information as of 4/25/2025 6:39:05 PM
Covered Entity Details
Entity Name
VALLEY-WIDE HEALTH SYSTEMS, INC.
Subdivision Name
Alamosa Family Medical Center, Valley Wide Pharmacy, or Anti-Coagulation Clinic
Type
HRSA-Funded Health Center
340B ID
CH080030
Entity Address
1710 1st St
Alamosa, CO 81101
Grant Number
H80CS00134
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HARRIS PHARMACY
Pharmacy Address
PHARMACY SERVICES INC
309 N MAIN ST
PO BOX 546
ROCKY FORD, CO 81067-1253
Pharmacy Comments
Contract Details
Approval Date
8/20/2012
Contract Begin Date
8/20/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeanne Darricades, CEO
(719) 589-5161
Contract Pharmacy Representative
Pharmacy Services, Inc.
Ky Davis, Pharmacist
(719) 254-3337
Signed By Date
7/3/2012
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