340B Drug Pricing Program Database
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WALGREEN CO.
DSH060118 St. Anthony Summit Hospital
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Covered Entity Details
Entity Name
St. Anthony Summit Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060118
Entity Address
340 PEAK ONE DR
FRISCO, CO 80443
Medicare Provider Number
060118
Participating Start Date
1/1/2020
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11326
269 DILLON RIDGE RD
DILLON, CO 80435
Pharmacy Comments
Contract Details
Approval Date
1/18/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lee Michael Boyles, President and CEO
(970) 668-2852
Contract Pharmacy Representative
Centura St. Anthony Summit Hospital
Brent A Morris, Manager Pharmacy Operations
(970) 668-9588
Signed By Date
1/18/2023
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