340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-5828
DSH060011 DENVER HEALTH MEDICAL CENTER
Print
Covered Entity Details
Entity Name
DENVER HEALTH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060011
Entity Address
777 BANNOCK ST
DENVER, CO 80204
Medicare Provider Number
060011
Participating Start Date
12/1/1992
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5828
Pharmacy Address
2730 S. PRAIRIE AVE
PUEBLO, CO 81005
Pharmacy Comments
Contract Details
Approval Date
10/12/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PEG BURNETTE, CFO, DENVER HEALTH AND HOSPITAL AUTHORITY
(303) 602-4964
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/12/2017
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