Contract Pharmacy Details

SCALES PHARMACY LLC
RWII802201B Colorado Health Network, Inc.

Covered Entity Details

Entity Name

Colorado Health Network, Inc.

Subdivision Name

Northern Region

Type

Ryan White Part B

340B ID

RWII802201B

Entity Address

400 Remington St., Ste. 100
Fort Collins, CO 80524

Grant Number

X07HA00056

Participating Start Date

7/1/2020

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

SCALES PHARMACY LLC

Pharmacy Address

SCALES PHARMACY
1999 N PENNSYLVANIA ST
DENVER, CO 80203-1314

Pharmacy Comments

Contract Details

Approval Date

8/6/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Darrell J Vigil, Chief Executive Officer
(303) 837-0166

Contract Pharmacy Representative

Scales Pharmacy
Dan Scales, Owner/Operator
(720) 974-5424

Signed By Date

7/17/2018

340B Drug Pricing Program Database