Contract Pharmacy Details

CVS PHARMACY, INC.
STD802201 Colorado Health Network, Inc.

Covered Entity Details

Entity Name

Colorado Health Network, Inc.

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD802201

Entity Address

6260 E. Colfax Ave.
Denver, CO 80220

Grant Number

NU62PS924563

Participating Start Date

1/1/2021

Last Recertification Date

5/20/2024

Pharmacy Details

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

CVS PHARMACY # 17142
7930 NORTHFIELD BLVD
DENVER, CO 80238

Pharmacy Comments

Contract Details

Approval Date

7/13/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/13/2023

340B Drug Pricing Program Database