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CITY MARKET STORE #443
CH08126B Mountain Family Health Centers
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Covered Entity Details
Entity Name
Mountain Family Health Centers
Subdivision Name
Mountain Family Health Centers Glenwood Springs
Type
HRSA-Funded Health Center
340B ID
CH08126B
Entity Address
1905 BLAKE AVE
STE 101
GLENWOOD SPRINGS, CO 81601-4206
Grant Number
H80CS00830
Participating Start Date
10/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CITY MARKET STORE #443
Pharmacy Address
PHARMACY DEPARTMENT
1320 RAILROAD AVENUE
RIFLE, CO 81650
Pharmacy Comments
Contract Details
Approval Date
7/23/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ross Brooks, CEO
(970) 945-2840
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
7/23/2015
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