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CITY MARKET PHARMACY
CAH061318-00 KREMMLING MEMORIAL HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061318-00
Entity Address
214 S. FOURTH STREET
KREMMLING, CO 80459
Medicare Provider Number
061318
Participating Start Date
1/1/2015
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
CITY MARKET PHARMACY
Pharmacy Address
400 N PARKWAY
P.O. BOX 3999
BRECKENRIDGE, CO 80424
Pharmacy Comments
Contract Details
Approval Date
10/13/2020
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
Kroger
Anastasia Frey, Senior Manager, payor contracting
(513) 762-4000
Signed By Date
10/13/2020
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