Contract Pharmacy Details

WALGREEN CO.
RWII802201 Colorado Health Network, Inc.

Covered Entity Details

Entity Name

Colorado Health Network, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII802201

Entity Address

6260 E. Colfax Ave.
Denver, CO 80220

Grant Number

X07HA00056

Participating Start Date

7/1/2020

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #13100
1601 E 19TH AVE STE 4650
DENVER, CO 80218

Pharmacy Comments

Contract Details

Approval Date

10/7/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Darrell J Vigil, Chief Executive Officer
(303) 837-0166

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/7/2022

340B Drug Pricing Program Database