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CITY MARKET PHARMACY #451
DSH060054 COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060054
Entity Address
2351 G ROAD
GRAND JUNCTION, CO 81505
Medicare Provider Number
060054
Participating Start Date
4/1/2021
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
CITY MARKET PHARMACY #451
Pharmacy Address
630 24 ROAD
GRAND JUNCTION, CO 81505
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/20/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christian A. Thomas, CEO
(970) 644-3011
Contract Pharmacy Representative
The Kroger Co
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/9/2023
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