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CITY MARKET PHARMACY #445
CHC26510-04 Southwest Colorado Mental Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Pagosa Springs Integrated Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26510-04
Entity Address
52 Village Dr
Pagosa Springs, CO 81147
Grant Number
H80CS26510
Participating Start Date
4/1/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CITY MARKET PHARMACY #445
Pharmacy Address
165 COUNTRY CENTER DRIVE
PAGOSA SPRINGS, CO 81147
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
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
7/15/2021
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