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HOFFMAN DRUG
CH080900 PEAK VISTA COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Health Center at Limon
Type
HRSA-Funded Health Center
340B ID
CH080900
Entity Address
820 1st St
Limon, CO 80828
Grant Number
H80CS00212
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOFFMAN DRUG
Pharmacy Address
900 MAIN ST
BOX 609
LIMON, CO 80828
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joel Tanaka, Chief Medical Officer
(719) 344-6530
Contract Pharmacy Representative
Hoffman Drug
Ryan Smithburg, Owner
(719) 775-2371
Signed By Date
10/13/2023
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