340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1200
CH08146AY Peak Vista Community Health Centers
Print
Covered Entity Details
Entity Name
Peak Vista Community Health Centers
Subdivision Name
Downtown Health Center
Type
HRSA-Funded Health Center
340B ID
CH08146AY
Entity Address
111 E Las Vegas St
Colorado Springs, CO 80903
Grant Number
H80CS00212
Participating Start Date
10/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1200
Pharmacy Address
3201 EAST PLATTE AVENUE
COLORADO SPRINGS, CO 80909
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
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/13/2023
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