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WAL-MART CENTRAL FILL 10-2670
CH08006AG DENVER HEALTH AND HOSPITAL AUTHORITY
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Covered Entity Details
Entity Name
DENVER HEALTH AND HOSPITAL AUTHORITY
Subdivision Name
Federico F Pena Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH08006AG
Entity Address
1339 S Federal Blvd
Denver, CO 80219-4235
Grant Number
H80CS00218
Participating Start Date
7/1/2016
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
9/7/2022
Contract Begin Date
9/7/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Simon Hambidge, Chief Ambulatory Care Services
(303) 602-5120
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
9/7/2022
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