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PROCARE PHARMACY, L.L.C.
DSH060004 Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital
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Covered Entity Details
Entity Name
Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060004
Entity Address
1600 PRAIRIE CENTER PKWY.
BRIGHTON, CO 80601
Medicare Provider Number
060004
Participating Start Date
4/1/2006
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #102
2101 N URSULA STREET UNIT 35
AURORA, CO 80045-7426
Pharmacy Comments
Contract Details
Approval Date
3/6/2023
Contract Begin Date
3/7/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Troy Stoehr, VP of Finance
(303) 498-1606
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
3/6/2023
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