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AUBURN PHARMACY, INC.
CAH171328-00 GREAT PLAINS OF OTTAWA COUNTY INC
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Covered Entity Details
Entity Name
GREAT PLAINS OF OTTAWA COUNTY INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171328-00
Entity Address
215 EAST EIGHTH
MINNEAPOLIS, KS 67467
Medicare Provider Number
171328
Participating Start Date
4/4/2023
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
AUBURN PHARMACY, INC.
Pharmacy Address
209 W 2ND ST
MINNEAPOLIS, KS 67467-2311
Pharmacy Comments
Contract Details
Approval Date
4/4/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JODY PARKS, ADMINISTRATOR
(785) 392-9131
Contract Pharmacy Representative
AUBURN PHARMACY, INC.
Mike Beisner, Pharmacy Operations Director
(620) 364-3388
Signed By Date
3/23/2023
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