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US SPECIALTY CARE PHARMACY
CAH061308-00 Conejos County Hospital Corporation
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Covered Entity Details
Entity Name
Conejos County Hospital Corporation
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061308-00
Entity Address
19021 US Hwy 285
La Jara, CO 81140
Medicare Provider Number
061308
Participating Start Date
1/1/2013
Last Recertification Date
8/21/2018
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
US SPECIALTY CARE PHARMACY
Pharmacy Address
7472 S TUCSON WAY
SUITE 100-B
CENTENNIAL, CO 80112-4452
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/7/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Henry Garvin, CEO
(719) 587-1205
Contract Pharmacy Representative
Karol Seydel, Pharmacist In Charge
(888) 479-2000 Ext: 8105
Signed By Date
10/11/2013
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