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COMMUNITY PHARMACY AT STEAMBOAT SPRINGS
CAH061314-00 THE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
THE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061314-00
Entity Address
750 HOSPITAL LOOP
CRAIG, CO 81625
Medicare Provider Number
061314
Participating Start Date
1/1/2017
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY AT STEAMBOAT SPRINGS
Pharmacy Address
2201 CURVE PLZ UNIT A-101
STEAMBOAT SPRINGS, CO 80487-5194
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/18/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Andrew J. Daniels, CEO
(970) 826-3105
Contract Pharmacy Representative
Community Clinics at MRH
Kelli Johnson, Retail Manager
(970) 826-8491
Signed By Date
1/15/2020
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