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SAFEWAY INC
CHC28361-00 SUMMIT COMMUNITY CARE CLINIC
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Covered Entity Details
Entity Name
SUMMIT COMMUNITY CARE CLINIC
Subdivision Name
Summit Community Care Clinic, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28361-00
Entity Address
360 Peak One Drive STE 100
Frisco, CO 80443
Grant Number
H80CS28361
Participating Start Date
10/1/2015
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #2824
1900 N. POPLAR ST.
LEADVILLE, CO 80461
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/10/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Susan Robertson, Interim Chief Executive Officer
(970) 822-8616
Contract Pharmacy Representative
Omnicell
Johnathan Braff, Health Systems Executive
(650) 272-7914
Signed By Date
4/14/2023
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