Contract Pharmacy Details

RECEPT PHARMACY #1
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC

Covered Entity Details

Entity Name

SUMMIT COMMUNITY CARE CLINIC

Subdivision Name

Summit Community Care Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC28361-00

Entity Address

360 Peak One Drive STE 100
Frisco, CO 80443

Grant Number

H80CS28361

Participating Start Date

10/1/2015

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

RECEPT PHARMACY #1

Pharmacy Address

800 8TH AVE STE 130
FORT WORTH, TX 76104

Pharmacy Comments

Contract Details

Approval Date

4/1/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Helen Royal, CEO
(970) 668-6883

Contract Pharmacy Representative

Recept Pharmacy
Samantha Burford, Director of 340B Client Services
(817) 602-2332

Signed By Date

4/1/2022

340B Drug Pricing Program Database