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SINA DRUG LLC
CAH171370-00 GOODLAND REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
GOODLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171370-00
Entity Address
220 WEST SECOND STREET
GOODLAND, KS 67735
Medicare Provider Number
171370
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SINA DRUG LLC
Pharmacy Address
D/B/A ONCO 360
13410 EASTPOINT CENTRE DR
STE 101
LOUISVILLE, KY 40223
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Derick Lorentz, Chief Financial Officer
(785) 890-6003 Ext: 6003
Contract Pharmacy Representative
Onco360 Oncology Pharmacy
Jim Bozora, VP of 340B Oncology Sales
(702) 281-5985
Signed By Date
7/11/2019
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