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CENTURA HEALTH PHARMACY AT ST ANTHONY HO
RRC060015-00 ST ANTHONY HOSPITAL
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Covered Entity Details
Entity Name
ST ANTHONY HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC060015-00
Entity Address
11600 W. 2ND PLACE
LAKEWOOD, CO 80228
Medicare Provider Number
060015
Participating Start Date
10/1/2022
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
CENTURA HEALTH PHARMACY AT ST ANTHONY HO
Pharmacy Address
DBA: COMMONSPIRIT ST ANTHONY HOSPITAL PH
11600 W 2ND PL
STE 1817
LAKEWOOD, CO 80228
Pharmacy Comments
Contract Details
Approval Date
8/29/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Wikoff, Market CFO
(719) 571-2498
Contract Pharmacy Representative
Centura Health
Andrew Bjork, Director of Pharmacy
(720) 321-1164
Signed By Date
7/15/2022
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