Contract Pharmacy Details

EXPRESS SCRIPTS PHARMACY, INC.
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

EXPRESS SCRIPTS PHARMACY, INC.

Pharmacy Address

DBA EXPRESS SCRIPTS
2040 ROUTE 130 NORTH
BURLINGTON, NJ 08016

Pharmacy Comments

Contract Details

Approval Date

7/26/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Santos vera, President/CEO
(949) 572-0958

Contract Pharmacy Representative

Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500

Signed By Date

7/26/2023

340B Drug Pricing Program Database