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OAKLEY HEALTH MART PHARMACY
CAH171362-00 Citizens Medical Center, Inc.
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Covered Entity Details
Entity Name
Citizens Medical Center, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171362-00
Entity Address
100 E College Drive
Colby, KS 67701
Medicare Provider Number
171362
Participating Start Date
7/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
OAKLEY HEALTH MART PHARMACY
Pharmacy Address
103 CENTER AVE
OAKLEY, KS 67748
Pharmacy Comments
Contract Details
Approval Date
10/4/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg Unruh, CEO
(785) 462-7511
Contract Pharmacy Representative
Oakley Health Mart Pharmacy
Kezia Uhrich, Pharmacy Administrator
(785) 672-4727
Signed By Date
10/4/2019
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