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KING SOOPERS PHARMACY
CH08073AG METRO COMMUNITY PROVIDER NETWORK, INC.
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Covered Entity Details
Entity Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
STRIDE CHC- Potomac Street
Type
HRSA-Funded Health Center
340B ID
CH08073AG
Entity Address
750 Potomac St Ste L23
Aurora, CO 80011-6742
Grant Number
H80CS00217
Participating Start Date
4/1/2020
Last Recertification Date
2/2/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
KING SOOPERS PHARMACY
Pharmacy Address
DIV DILLON COMPANIES INC
9731 W 58TH AVE
ARVADA, CO 80002
Pharmacy Comments
Contract Details
Approval Date
1/10/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Santos vera, President/CEO
(949) 572-0958
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/10/2025
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