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PURGATORY PHARMACEUTICAL SERVICES LLC
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
PURGATORY PHARMACEUTICAL SERVICES LLC
Pharmacy Address
DBA JACK'S MARKET PHARMACY
222 SOLAR AVE
MONTE VISTA, CO 81144
Pharmacy Comments
Contract Details
Approval Date
1/6/2025
Contract Begin Date
1/16/2025
Carve-In Effective Date
Contract Comments
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
1/6/2025
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