Contract Pharmacy Details

SCALES PHARMACY LLC
RWII802201C Colorado Health Network, Inc.

Covered Entity Details

Entity Name

Colorado Health Network, Inc.

Subdivision Name

Southern Region

Type

Ryan White Part B

340B ID

RWII802201C

Entity Address

1301 S. 8th St.
200
Colorado Springs, CO 80905

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

6/2/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2020
Pharmacy closed

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

4/9/2020

340B Drug Pricing Program Database