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SAFEWAY INC
CAH061312-00 ESTES PARK HEALTH
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Covered Entity Details
Entity Name
ESTES PARK HEALTH
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061312-00
Entity Address
555 PROSPECT AVE.
ESTES PARK, CO 80517
Medicare Provider Number
061312
Participating Start Date
1/1/2011
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0920
451 E WONDERVIEW AVE
ESTES PARK, CO 80517
Pharmacy Comments
Contract Details
Approval Date
11/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian Herwig, CEO
(970) 577-4470
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
11/14/2014
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