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SMITH'S FOOD AND DRUG CTR INC
CAH031314-00 Cobre Valley Regional Medical Center
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Covered Entity Details
Entity Name
Cobre Valley Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH031314-00
Entity Address
5880 S. Hospital Drive
Globe, AZ 85501
Medicare Provider Number
031314
Participating Start Date
7/1/2012
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
SMITH'S FOOD AND DRUG CTR INC
Pharmacy Address
DBA FRY'S FOOD AND DRUG #109
2115 U.S. HWY 60
STE 200
MIAMI, AZ 85539
Pharmacy Comments
Contract Details
Approval Date
4/24/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/24/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James R. Childers, CFO
(928) 402-1123
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/24/2013
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