340B Drug Pricing Program Database
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PED063301-93 Children's Hospital Colorado (Active)
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Main Details
Name
Children's Hospital Colorado
Subdivision Name
CHILDRENS HOSPITAL COLORADO - North Gastro
Type
Children's Hospital
Rural
No
340B ID
PED063301-93
Medicare Provider Number
063301
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/27/2020
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Children's Hospital Colorado
Casey Dugan, Vice President of Pharmacy Services
(720) 777-5683
Primary Contact
Children's Hospital Colorado
Ricardo Alexis Laremont, Pharmacy 340B Program Manager
(720) 777-8899
Addresses
Street Address
469 STATE HIGHWAY 7
BROOMFIELD, CO 80023-8965
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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