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SAFEWAY INC
DSH060008 SAN LUIS VALLEY REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
SAN LUIS VALLEY REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060008
Entity Address
106 BLANCA AVE
ALAMOSA, CO 81101
Medicare Provider Number
060008
Participating Start Date
10/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1681
1301 MAIN STREET
ALAMOSA, CO 81101
Pharmacy Comments
Contract Details
Approval Date
2/15/2012
Contract Begin Date
3/1/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Henry Garvin, CEO
(719) 587-1205
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
2/24/2012
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