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ASHCRAFT PHARMACY
CHC08239-00 PRAIRIESTAR HEALTH CENTER INC
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Covered Entity Details
Entity Name
PRAIRIESTAR HEALTH CENTER INC
Subdivision Name
PRAIRIESTAR HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08239-00
Entity Address
2700 E 30TH AVE
HUTCHINSON, KS 67502
Grant Number
H80CS08239
Participating Start Date
4/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
ASHCRAFT PHARMACY
Pharmacy Address
RTGIF, INC.
503 N. MAIN ST.
SOUTH HUTCHINSON, KS 67505
Pharmacy Comments
Contract Details
Approval Date
9/27/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryant Anderson, Chief Executive Officer
(620) 802-0035
Contract Pharmacy Representative
Ashcraft Pharmacy
Tami Friday, Main POC
(620) 663-2258
Signed By Date
9/27/2019
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