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LA CASA-QUIGG NEWTON HEALTH CENTER PHARM
CH08006AG DENVER HEALTH AND HOSPITAL AUTHORITY
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Covered Entity Details
Entity Name
DENVER HEALTH AND HOSPITAL AUTHORITY
Subdivision Name
Federico F Pena Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH08006AG
Entity Address
1339 S Federal Blvd
Denver, CO 80219-4235
Grant Number
H80CS00218
Participating Start Date
7/1/2016
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LA CASA-QUIGG NEWTON HEALTH CENTER PHARM
Pharmacy Address
LA CASA-QUIGG NEWTON HEALTH CENTER PHARM
DENVER HEALTH
4545 NAVAJO ST
DENVER, CO 80211
Pharmacy Comments
Contract Details
Approval Date
4/14/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/28/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Simon Hambidge, Chief Ambulatory Care Services
(303) 602-5120
Contract Pharmacy Representative
Denver Health
PEG BURNETTE, CFO, DENVER HEALTH AND HOSPITAL AUTHORITY
(303) 602-4964
Signed By Date
4/14/2019
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