340B Drug Pricing Program Database

Pharmacy Name

KING SOOPERS PHARMACY #1

Pharmacy Address

1331 NORTH SPEER BLVD
DENVER, CO 80204

Pharmacy Comments

Approval Date

2/1/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

PEG BURNETTE, CFO, DENVER HEALTH AND HOSPITAL AUTHORITY
(303) 602-4964

Contract Pharmacy Representative

Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672

Signed By Date

2/1/2017