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CITY MARKET PHARMACY #445
CHC26510-00 Southwest Colorado Mental Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Cortez Integrated Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26510-00
Entity Address
691 E EMPIRE ST
CORTEZ, CO 81321-2802
Grant Number
H80CS26510
Participating Start Date
4/1/2020
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
7/15/2022
Contract Begin Date
10/1/2022
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
Alex Conrad, Chief Administrative Officer
(970) 335-2233
Contract Pharmacy Representative
Southwest Colorado Mental Health Center Inc dba Axis Health System
Joshua Shumway, Director of Pharmacy
(970) 903-9423
Signed By Date
7/15/2022
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