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DILLONS PHARMACY #38
SCH170150-00 SOUTH CENTRAL KS REGIONAL MEDICAL CT
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Covered Entity Details
Entity Name
SOUTH CENTRAL KS REGIONAL MEDICAL CT
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH170150-00
Entity Address
6401 Patterson Parkway
ARKANSAS CITY, KS 67005
Medicare Provider Number
170150
Participating Start Date
10/1/2015
Last Recertification Date
8/23/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #38
Pharmacy Address
425 NORTH SUMMIT
ARKANSAS CITY, KS 67005
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Litisha Johnson, CFO
(620) 441-5924
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/15/2020
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