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SCALES PHARMACY LLC
CH080730 METRO COMMUNITY PROVIDER NETWORK, INC.
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Covered Entity Details
Entity Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
STRIDE CHC- Peoria
Type
HRSA-Funded Health Center
340B ID
CH080730
Entity Address
3292 Peoria St
Aurora, CO 80010
Grant Number
H80CS00217
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
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
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ben Wiederholt, CEO
(303) 761-1977 Ext: 1103
Contract Pharmacy Representative
Scales Pharmacy
Dan Scales, Owner/Operator
(720) 974-5424
Signed By Date
10/15/2019
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