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PALACE DRUG STORE OF COLBY
CAH171362-00 Citizens Medical Center, Inc.
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Covered Entity Details
Entity Name
Citizens Medical Center, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171362-00
Entity Address
100 E College Drive
Colby, KS 67701
Medicare Provider Number
171362
Participating Start Date
7/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
PALACE DRUG STORE OF COLBY
Pharmacy Address
460 N. FRANKLIN AVE.
COLBY, KS 67701-2326
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Greg Unruh, CEO
(785) 462-7511
Contract Pharmacy Representative
Palace Drug Store of Colby
Hannah Benyshek, Owner
(785) 460-7507
Signed By Date
7/13/2018
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