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CORNER DRUG & GIFT
CAH171377-00 Great Plains of Smith County, dba Smith County Memorial Hospital
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Covered Entity Details
Entity Name
Great Plains of Smith County, dba Smith County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171377-00
Entity Address
921 E. Highway 36
Smith Center, KS 66967
Medicare Provider Number
171377
Participating Start Date
7/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CORNER DRUG & GIFT
Pharmacy Address
823 MORGAN AVE
DOWNS, KS 67437-1623
Pharmacy Comments
Contract Details
Approval Date
1/22/2021
Contract Begin Date
1/22/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allen Van Driel, Chief Executive Officer
(785) 282-6845
Contract Pharmacy Representative
Corner Drug & Gift, Inc.
Shawna Doane, Owner
(785) 545-6601
Signed By Date
1/22/2021
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