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WALGREEN CO.
CH08017N PUEBLO COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
PUEBLO COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Pueblo Community College Student Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH08017N
Entity Address
900 W Orman Ave MT Building, Room 118
Pueblo, CO 81004
Grant Number
H80CS00692
Participating Start Date
1/1/2018
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09568
1520 W 4TH STREET
PUEBLO, CO 81004-1207
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
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