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CVS PHARMACY, INC.
CH081460Y PEAK VISTA COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Pediatric Health Center at International Circle
Type
HRSA-Funded Health Center
340B ID
CH081460Y
Entity Address
2828 International Circle STE 140
Colorado Springs, CO 80910
Grant Number
H80CS00212
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS/PHARMACY # 11002
455 NORTH CIRCLE DR
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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