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ASCENSION PHARMACY SERVICES, LLC
CAH171337-00 WAMEGO HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
WAMEGO HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171337-00
Entity Address
711 Genn Drive
WAMEGO, KS 66547
Medicare Provider Number
171337
Participating Start Date
7/1/2021
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
ASCENSION PHARMACY SERVICES, LLC
Pharmacy Address
DBA ASCENSION RX 1303
30055 NORTHWESTERN HWY STE 225
FARMINGTON HILLS, MI 48334
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Charles Copple, Hospital President
(785) 776-2841
Contract Pharmacy Representative
Ascension Michigan Pharmacy
Suzanne Noe, Pharmacist
(248) 865-3770
Signed By Date
1/17/2022
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