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SAFEWAY INC
CAH061319-00 ST. VINCENT GENERAL HOSPITAL
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Covered Entity Details
Entity Name
ST. VINCENT GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061319-00
Entity Address
822 WEST 4TH ST.
LEADVILLE, CO 80461
Medicare Provider Number
061319
Participating Start Date
10/1/2023
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #2824
1900 N. POPLAR ST.
LEADVILLE, CO 80461
Pharmacy Comments
Contract Details
Approval Date
7/3/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Joyce Beck, CEO
(719) 486-7161
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
7/3/2014
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