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AMBERWELL PHARMACY
CAH171382-00 Atchison Hospital Association
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Covered Entity Details
Entity Name
Atchison Hospital Association
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171382-00
Entity Address
DBA: Amberwell Atchison Association
800 Raven Hill Drive
Atchison, KS 66002
Medicare Provider Number
171382
Participating Start Date
1/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
AMBERWELL PHARMACY
Pharmacy Address
ADVOCATE HEALTH SERVICES, INC.
800 RAVENHILL DR STE 101
ATCHISON, KS 66002
Pharmacy Comments
Contract Details
Approval Date
7/16/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffery Perry, CEO
(913) 360-5586
Contract Pharmacy Representative
Advocate Health
Nealy Stemple, Director of Retail Pharmacy Services
(913) 367-1654
Signed By Date
7/16/2022
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