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JACK'S MARKET PHARMACY
CH08003F VALLEY-WIDE HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
VALLEY-WIDE HEALTH SYSTEMS, INC.
Subdivision Name
Edward M. Kennedy Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH08003F
Entity Address
925 2nd Ave
Monte Vista, CO 81144
Grant Number
H80CS00134
Participating Start Date
10/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
JACK'S MARKET PHARMACY
Pharmacy Address
222 SOLAR AVE.
MONTE VISTA, CO 81144
Pharmacy Comments
Contract Details
Approval Date
10/14/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2023
Ownership change
Contacts
Covered Entity Signing Official
Jania Arnoldi, President/CEO
(719) 587-1000
Contract Pharmacy Representative
Jack's Market Pharmacy
Ian McMullen, PIC
(907) 202-6132
Signed By Date
10/14/2023
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