340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WESTERN PHARMACY GROUP LLC
CH080730 METRO COMMUNITY PROVIDER NETWORK, INC.

Covered Entity Details

STRIDE CHC- Peoria
HRSA-Funded Health Center
CH080730
3292 Peoria St
Aurora, CO 80010
H80CS00217
12/1/1992
2/2/2024


Pharmacy Details

DBA COMMUNITY MEDICAL CENTER PHARMACY
610 GATEWAY CENTER WAY
SUITES A--E
SAN DIEGO, CA 92102

Contract Details

7/13/2018
10/1/2018

5/16/2022
Business decision by covered entity and/or pharmacy


Contacts


Ben Wiederholt, CEO
(303) 761-1977 Ext: 1103



Western Pharmacy Group LLC
KEVIN FARIS, CEO
(360) 685-4263
7/13/2018