Contract Pharmacy Details

CARES PHARMACY
STD802219 COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

Covered Entity Details

Entity Name

COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD802219

Entity Address

4300 CHERRY CREEK DRIVE SOUTH
A-2
DENVER, CO 80246-1530

Grant Number

NH25PS005164

Participating Start Date

1/1/2021

Last Recertification Date

5/7/2024

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

1/15/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Justin Tarr, Deputy Director, Office of STI/HIV/VH
(720) 688-2764

Contract Pharmacy Representative

Vivent Health
Timothy Denis Dyer, Executive Vice President & CFO
(414) 225-1542

Signed By Date

1/15/2021

340B Drug Pricing Program Database