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CENTURA HEALTH PHARMACY SERVICES
SCH170175-00 St. Catherine Hospital - Dodge City
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Covered Entity Details
Entity Name
St. Catherine Hospital - Dodge City
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH170175-00
Entity Address
3001 Avenue A
Dodge City, KS 67801
Medicare Provider Number
170175
Participating Start Date
4/1/2023
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CENTURA HEALTH PHARMACY SERVICES
Pharmacy Address
2551 W. 84TH AVE
WESTMINSTER, CO 80031
Pharmacy Comments
Contract Details
Approval Date
1/26/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Fitzthum, COO
(620) 225-8404
Contract Pharmacy Representative
CENTURA HEALTH PHARMACY SERVICES
Brian Morganfield, Pharmacy Manager
(303) 426-2360
Signed By Date
1/12/2023
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