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CITY MARKET PHARMACY
CAH061317-00 Grand River Hospital District
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Covered Entity Details
Entity Name
Grand River Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061317-00
Entity Address
501 Airport Rd
Rifle, CO 81650
Medicare Provider Number
061317
Participating Start Date
10/1/2012
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
CITY MARKET PHARMACY
Pharmacy Address
850 CASTLE VALLEY BLVD
NEW CASTLE, CO 81647
Pharmacy Comments
Contract Details
Approval Date
1/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Meriya M Stickler, Compliance Director
(970) 665-6299 Ext: 6299
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/7/2021
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