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SAFEWAY INC
CAH061336-00 Arkansas Valley Regional Medical Center
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Covered Entity Details
Entity Name
Arkansas Valley Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061336-00
Entity Address
1100 Carson Avenue
La Junta, CO 81050
Medicare Provider Number
061336
Participating Start Date
7/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #3723
315 W 2ND STREET
LA JUNTA, CO 81050
Pharmacy Comments
Contract Details
Approval Date
7/20/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynn Crowell, Chief Executive Officer
(719) 383-6000
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
7/20/2017
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