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PROCARE PHARMACY, L.L.C.
STD802201 Colorado Health Network, Inc.
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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
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #2923
3250 HARDEN ST. EXT. SUITE #300
COLUMBIA, SC 29203
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
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