340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY INC
CAH061301-00 RIO GRANDE HOSPITAL
Print
Covered Entity Details
Entity Name
RIO GRANDE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061301-00
Entity Address
310 COUNTY ROAD 14
DEL NORTE, CO 81132
Medicare Provider Number
061301
Participating Start Date
9/9/2010
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
8/2/2012
Contract Begin Date
8/2/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ARLENE HARMS, CEO
(719) 657-4104
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
7/13/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session