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DILLONS PHARMACY #108
CAH171376-00 Hospital District #1 of Crawford County Kansas
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Covered Entity Details
Entity Name
Hospital District #1 of Crawford County Kansas
Subdivision Name
Girard Medical Center
Type
Critical Access Hospital
340B ID
CAH171376-00
Entity Address
302 North Hospital Drive
Girard, KS 66743
Medicare Provider Number
171376
Participating Start Date
10/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #108
Pharmacy Address
2600 NORTH BROADWAY
PITTSBURG, KS 66762
Pharmacy Comments
Contract Details
Approval Date
1/8/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ruth Anne Duling, CEO
(620) 724-8291 Ext: 243
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/8/2019
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