340B Drug Pricing Program Database
BATTLEMENT GROCERY LLC
CAH061317-00 Grand River Hospital District - information as of 5/24/2025 1:28:01 AM
Covered Entity Details
Entity Name
Grand River Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061317-00
Entity Address
501 Airport Rd
Rifle, CO 81650
Medicare Provider Number
061317
Participating Start Date
10/1/2012
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
BATTLEMENT GROCERY LLC
Pharmacy Address
CLARKS PHARMACY BATTLEMENT
71 SIPPRELLE DR
PARACHUTE, CO 81635-9232
Pharmacy Comments
Contract Details
Approval Date
10/1/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christina Bolin, CFO
(970) 625-6462
Contract Pharmacy Representative
Battlement Grocery LLC
Mark Hansen, Pharmacy Manager
(970) 285-5661
Signed By Date
10/1/2019
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