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ACARIAHEALTH PHARMACY, INC.
SCH060071-00 DELTA COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
DELTA COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH060071-00
Entity Address
1501 E. 3RD ST.
DELTA, CO 81416
Medicare Provider Number
060071
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
ACARIAHEALTH PHARMACY, INC.
Pharmacy Address
10409 W 84TH TERRACE
LENEXA, KS 66214-1641
Pharmacy Comments
Contract Details
Approval Date
9/6/2022
Contract Begin Date
9/12/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Matthew Heyn, CEO
(970) 874-2229
Contract Pharmacy Representative
Acaria Health
Philip Gofman, Regional VP
(917) 312-5263
Signed By Date
9/6/2022
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