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KANSAS CVS PHARMACY, L.L.C.
DSH170074 STORMONT VAIL HEALTH, FLINT HILLS LLC
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Covered Entity Details
Entity Name
STORMONT VAIL HEALTH, FLINT HILLS LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH170074
Entity Address
1102 ST. MARYS ROAD
JUNCTION CITY, KS 66441
Medicare Provider Number
170074
Participating Start Date
7/20/2020
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
KANSAS CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10304
203 S. WASHINGTON STREET
JUNCTION CITY, KS 66441
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2022
Ownership change
Contacts
Covered Entity Signing Official
Wade Eugene Weis, CFO
(785) 210-3302 Ext: 4121
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2021
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