Contract Pharmacy Details

WALGREEN CO.
CH080730 METRO COMMUNITY PROVIDER NETWORK, INC.

Covered Entity Details

Entity Name

METRO COMMUNITY PROVIDER NETWORK, INC.

Subdivision Name

STRIDE CHC- Peoria

Type

HRSA-Funded Health Center

340B ID

CH080730

Entity Address

3292 Peoria St
Aurora, CO 80010

Grant Number

H80CS00217

Participating Start Date

12/1/1992

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #16516
2608 E COLFAX AVE
DENVER, CO 80206

Pharmacy Comments

Contract Details

Approval Date

10/12/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Shyanne Ching, Chief Financial Officer
(303) 931-5682

Contract Pharmacy Representative

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

Signed By Date

10/12/2022

340B Drug Pricing Program Database