Contract Pharmacy Details

CITY MARKET PHARMACY #17
CH08003AB VALLEY-WIDE HEALTH SYSTEMS, INC.

Covered Entity Details

Entity Name

VALLEY-WIDE HEALTH SYSTEMS, INC.

Subdivision Name

The Pulse School-Based Health Center

Type

HRSA-Funded Health Center

340B ID

CH08003AB

Entity Address

1215 Main St Ste B
Canon City, CO 81212

Grant Number

H80CS00134

Participating Start Date

1/1/2021

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

CITY MARKET PHARMACY #17

Pharmacy Address

1703 FREMONT
CANON CITY, CO 81212

Pharmacy Comments

Contract Details

Approval Date

10/9/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/15/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Jania Arnoldi, President/CEO
(719) 587-1000

Contract Pharmacy Representative

Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109

Signed By Date

10/9/2023

340B Drug Pricing Program Database