340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
Walmart Pharmacy 10-7611
CHC26510-00 Southwest Colorado Mental Health Center, Inc.
Print
Covered Entity Details
Entity Name
Southwest Colorado Mental Health Center, Inc.
Subdivision Name
Cortez Integrated Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26510-00
Entity Address
691 E EMPIRE ST
CORTEZ, CO 81321-2802
Grant Number
H80CS26510
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/3/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alex Conrad, Chief Administrative Officer
(970) 335-2233
Contract Pharmacy Representative
Southwest Colorado Mental Health Center Inc dba Axis Health System
Joshua Shumway, Director of Pharmacy
(970) 903-9423
Signed By Date
10/3/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session