340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KREMMLING MERCANTILE
CAH061318-00 KREMMLING MEMORIAL HOSPITAL DISTRICT
Print
Covered Entity Details
Entity Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061318-00
Entity Address
214 S. FOURTH STREET
KREMMLING, CO 80459
Medicare Provider Number
061318
Participating Start Date
1/1/2015
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
KREMMLING MERCANTILE
Pharmacy Address
101 MARTIN WAY
PO BOX 1600
KREMMLING, CO 80459-1600
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brendan Gale, CFO
(970) 724-3111
Contract Pharmacy Representative
David Hammer, owner
(970) 724-8979
Signed By Date
10/13/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session