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LANNING PHARMACY LLC
CAH171340-00 Herington Hospital, Inc. d/b/a Herington Hospital
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Covered Entity Details
Entity Name
Herington Hospital, Inc. d/b/a Herington Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171340-00
Entity Address
100 EAST HELEN
HERINGTON, KS 67449
Medicare Provider Number
171340
Participating Start Date
1/1/2019
Last Recertification Date
8/31/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
LANNING PHARMACY LLC
Pharmacy Address
217 E MAIN ST
MARION, KS 66861
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Isabel S Schmedemann, CEO
(785) 258-5132
Contract Pharmacy Representative
Lanning Pharmacy LLC
Traci Lanning, President
(620) 382-2135
Signed By Date
10/15/2019
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