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CITY MARKET PHARMACY #437
CAH061322-00 Salida Hospital District DBA Heart of the Rockies Regional Medical Center
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Covered Entity Details
Entity Name
Salida Hospital District DBA Heart of the Rockies Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061322-00
Entity Address
1000 Rush Drive
Salida, CO 81201
Medicare Provider Number
061322
Participating Start Date
1/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
CITY MARKET PHARMACY #437
Pharmacy Address
438 S HWY 24
P.O. BOX 2024
BUENA VISTA, CO 81211-2024
Pharmacy Comments
Contract Details
Approval Date
4/23/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/5/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lesley Fagerberg, VP Finance
(719) 530-2213
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/23/2014
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