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CVS PHARMACY, INC.
CH08146AR Peak Vista Community Health Centers
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Covered Entity Details
Entity Name
Peak Vista Community Health Centers
Subdivision Name
Health Center at Jet Wing
Type
HRSA-Funded Health Center
340B ID
CH08146AR
Entity Address
1815 Jet Wing Dr
Colorado Springs, CO 80916
Grant Number
H80CS00212
Participating Start Date
4/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS/PHARMACY # 11001
3475 N ACADEMY BLVD.
COLORADO SPRINGS, CO 80917
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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