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KING SOOPERS PHARMACY #58
CH08146AV Peak Vista Community Health Centers
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Covered Entity Details
Entity Name
Peak Vista Community Health Centers
Subdivision Name
Peak Vista Enrichment and Counseling Center
Type
HRSA-Funded Health Center
340B ID
CH08146AV
Entity Address
3207 N Academy Blvd Ste 100
Colorado Springs, CO 80917
Grant Number
H80CS00212
Participating Start Date
7/29/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KING SOOPERS PHARMACY #58
Pharmacy Address
815 CHEYENNE MEADOWS ROAD
COLORADO SPRINGS, CO 80906
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
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
10/13/2023
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