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CITY MARKET #446
CAH061318-00 KREMMLING MEMORIAL HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061318-00
Entity Address
214 S. FOURTH STREET
KREMMLING, CO 80459
Medicare Provider Number
061318
Participating Start Date
1/1/2015
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
CITY MARKET #446
Pharmacy Address
1001 THOMPSON RD
PO BOX 619
GRANBY, CO 80446
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra Plemmons, CNO
(970) 724-3121
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/12/2024
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