340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DURANGO CITY MARKET NORTH #21
CHC26510-03 Southwest Colorado Mental Health Center, Inc.
Print
Covered Entity Details
Entity Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Dove Creek Integrated Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26510-03
Entity Address
495 W 4th St
Dove Creek, CO 81324-4900
Grant Number
H80CS26510
Participating Start Date
6/4/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
DURANGO CITY MARKET NORTH #21
Pharmacy Address
3130 MAIN AVENUE
DURANGO, CO 81301
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
11/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Pamela Wise Romero, COO
(970) 335-2202
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/17/2020
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