340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LYONS PHARMACY
CAH171330-00 HOSPITAL DIST NO 1 OF RICE COUNTY
Print
Covered Entity Details
Entity Name
HOSPITAL DIST NO 1 OF RICE COUNTY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171330-00
Entity Address
619 S CLARK
LYONS, KS 67554
Medicare Provider Number
171330
Participating Start Date
10/1/2017
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
LYONS PHARMACY
Pharmacy Address
921 W MAIN ST
LYONS, KS 67554
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George M. Stover, Chief Executive Officer
(620) 257-5173
Contract Pharmacy Representative
Freeman Pharmacy
Lance Freeman, Mgr
(620) 842-5119
Signed By Date
1/11/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session