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WAL-MART PHARMACY 10-2270
CHC26510-01 Southwest Colorado Mental Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Southwest Colorado Mental Health Center, Inc., dba La Plata Integrated Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26510-01
Entity Address
1970 E. 3rd Ave Unit 1 - Lower Level
Durango, CO 81301
Grant Number
H80CS26510
Participating Start Date
4/1/2020
Last Recertification Date
1/31/2023
Entity Termination Date
4/1/2024
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
7/17/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
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
7/17/2020
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