340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo
Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

PRIME THERAPEUTICS SPECIALTY PHARMACY LL
CAH061308-00 Conejos County Hospital Corporation

Covered Entity Details

Critical Access Hospital
CAH061308-00
19021 US Hwy 285
La Jara, CO 81140
061308
1/1/2013
8/21/2018
7/1/2019


Pharmacy Details

ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992

Contract Details

7/20/2017
10/1/2017

10/2/2017
Business decision by covered entity and/or pharmacy


Contacts


Konnie Martin, CEO
(719) 587-1202



Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
7/20/2017