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MONTEZUMA DRUG
CAH171321-00 MEADE DISTRICT HOSPITAL
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Covered Entity Details
Entity Name
MEADE DISTRICT HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171321-00
Entity Address
510 E. CARTHAGE
MEADE, KS 67864-0820
Medicare Provider Number
171321
Participating Start Date
3/21/2023
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
MONTEZUMA DRUG
Pharmacy Address
300 N AZTEC ST
MONTEZUMA, KS 67867-8874
Pharmacy Comments
Contract Details
Approval Date
3/21/2023
Contract Begin Date
3/21/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie A Saucedo, CFO
(620) 873-2141
Contract Pharmacy Representative
Montezuma Drug
Jami Helm, Owner
(620) 846-2202
Signed By Date
3/16/2023
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