340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2270
CHC26510-00 Southwest Colorado Mental Health Center, Inc.
Print
Covered Entity Details
Entity Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Cortez Integrated Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26510-00
Entity Address
691 E EMPIRE ST
CORTEZ, CO 81321-2802
Grant Number
H80CS26510
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2270
Pharmacy Address
1155 SOUTH CAMINO DEL RIO
DURANGO, CO 81303
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/7/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Pamela Wise Romero, COO
(970) 335-2202
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/13/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session