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WALGREENS MAIL SERVICE, LLC
CAH061302-00 Lower Valley Hospital Association d/b/a/ Family Health West Hospital
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Covered Entity Details
Entity Name
Lower Valley Hospital Association d/b/a/ Family Health West Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061302-00
Entity Address
Family Health West Hospital
300 West Ottley Ave
Fruita, CO 81521
Medicare Provider Number
061302
Participating Start Date
4/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, LLC
Pharmacy Address
WALGREENS MAIL SERVICE #03397
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
1/10/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/13/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark J Francis, Pres/CEO
(970) 858-2106
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/10/2018
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