340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ESI MAIL PHARMACY SERVICE
CAH061318-00 KREMMLING MEMORIAL HOSPITAL DISTRICT
Print
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
ESI MAIL PHARMACY SERVICE
Pharmacy Address
DBA EXPRESS SCRIPTS
7909 S HARDY DR STE 106
TEMPE, AZ 85284-1112
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
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
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session