340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH08017E PUEBLO COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
PUEBLO COMMUNITY HEALTH CENTER
Subdivision Name
GRAND AVENUE HOMELESS CLINIC
Type
HRSA-Funded Health Center
340B ID
CH08017E
Entity Address
1008 N Grand Ave
Pueblo, CO 81003-2916
Grant Number
H80CS00692
Participating Start Date
10/1/2003
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06283
1013 BONFORTE BLVD
PUEBLO, CO 81001
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Moore, CEO
(719) 543-8718 Ext: 139
Contract Pharmacy Representative
PCHC
Jenna Valentine, Pharmacy Director
(719) 543-8711
Signed By Date
4/12/2024
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