340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DILLONS PHARMACY #51
CAH171333-00 Clara Barton Hospital Association
Print
Covered Entity Details
Entity Name
Clara Barton Hospital Association
Subdivision Name
Clara Barton Hospital & Clinics
Type
Critical Access Hospital
340B ID
CAH171333-00
Entity Address
250 W. 9th St.
Hoisington, KS 67544-1799
Medicare Provider Number
171333
Participating Start Date
10/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #51
Pharmacy Address
4107 10TH STREET
GREAT BEND, KS 67530
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Blackwell, CEO
(620) 653-2114
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session