340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH08073T METRO COMMUNITY PROVIDER NETWORK, INC. (Terminated)
Print
Main Details
Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
STRIDE CHC- Union Square Health Plaza at Jefferson Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022099
340B ID
CH08073T
Grant Number
H80CS00217
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/20/2013
Last Recertification Date
2/13/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Metro Community Provider Network, Inc
Santos vera, President/CEO
(949) 572-0958
Primary Contact
Stride CHC
Richard David Dziallo, Pharmacy Manager
(720) 473-7212
Addresses
Street Address
12055 W 2nd Pl
Lakewood, CO 80228-1506
Billing Address
STRIDE CHC- Wheat Ridge
7495 W 29th Ave
Wheat Ridge, CO 80033-8002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session