Contract Pharmacy Details

CARES PHARMACY
RWII802201A Colorado Health Network, Inc.

Covered Entity Details

Entity Name

Colorado Health Network, Inc.

Subdivision Name

Western Region

Type

Ryan White Part B

340B ID

RWII802201A

Entity Address

1001 Wellington Ave.
Grand Junction, CO 81501

Grant Number

X07HA00056

Participating Start Date

7/1/2020

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

CARES PHARMACY

Pharmacy Address

DBA VIVENT PHARMACY
5250 LEETSDALE DR STE 300
DENVER, CO 80246-1451

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
Agreement registered in error

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

AIDS Resource Center of Wisconsin
Daniel Guinn, VP of Compliance & General Counsel
(608) 316-8602

Signed By Date

4/14/2020

340B Drug Pricing Program Database