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AUBURN PHARMACY #125
CAH171316-00 Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital
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Covered Entity Details
Entity Name
Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171316-00
Entity Address
421 SOUTH MAPLE
GARNETT, KS 66032
Medicare Provider Number
171316
Participating Start Date
9/2/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
AUBURN PHARMACY #125
Pharmacy Address
AUBURN PHARMACY, INC.
625 MAIN ST
MOUND CITY, KS 66056-9100
Pharmacy Comments
Contract Details
Approval Date
1/9/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/7/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
VICKI MILLS, CHIEF FINANCIAL OFFICER
(785) 204-4043
Contract Pharmacy Representative
AuBurn Pharmacy 171
Ryan Moore, VP Operations
(785) 448-3600
Signed By Date
1/9/2019
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