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SAFEWAY INC
CAH061318-01 KREMMLING MEMORIAL HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
dba Middle Park Health - Granby Campus
Type
Critical Access Hospital
340B ID
CAH061318-01
Entity Address
1000 GRANBY PARK DRIVE SOUTH
GRANBY, CO 80446
Medicare Provider Number
061318
Outpatient Facility Provider Number
Participating Start Date
1/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1568
40 COUNTY RD #804
P.O. BOX 218
FRASER, CO 80442
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra Plemmons, CNO
(970) 724-3121
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/5/2020
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