Contract Pharmacy Details

K & S DRUGS
DSH190140 FRANKLIN MEDICAL CENTER

Covered Entity Details

Entity Name

FRANKLIN MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH190140

Entity Address

2106 LOOP ROAD
WINNSBORO, LA 71295

Medicare Provider Number

190140

Participating Start Date

1/1/2011

Last Recertification Date

8/23/2024

Pharmacy Details

Pharmacy Name

K & S DRUGS

Pharmacy Address

802 ADAMS ST
WINNSBORO, LA 71295-7129

Pharmacy Comments

Contract Details

Approval Date

10/12/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MICHAEL BLAKE KRAMER, CEO
(318) 412-5265

Contract Pharmacy Representative

K & S Drugs
Ivan Landry, Owner
(318) 435-7858

Signed By Date

10/12/2018