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SMITH'S FOOD & DRUG CTRS INC
DSH320002 ST. VINCENT HOSPITAL
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Covered Entity Details
Entity Name
ST. VINCENT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH320002
Entity Address
455 ST. MICHAELS DRIVE
SANTA FE, NM 87505
Medicare Provider Number
320002
Participating Start Date
1/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SMITH'S FOOD & DRUG CTRS INC
Pharmacy Address
SMITH'S PHARMACY #491
2110 S PACHECO ST
SANTA FE, NM 87505
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/25/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lillian Montoya, President and CEO
(505) 913-5258
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
10/14/2022
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