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STORMONT VAIL PHARMACY, LLC
DSH170086 STORMONT-VAIL HEALTHCARE INC.
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Covered Entity Details
Entity Name
STORMONT-VAIL HEALTHCARE INC.
Subdivision Name
DBA STORMONT VAIL HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH170086
Entity Address
1500 SW 10TH AVE
TOPEKA, KS 66604
Medicare Provider Number
170086
Participating Start Date
4/1/2018
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
STORMONT VAIL PHARMACY, LLC
Pharmacy Address
830 SW LANE ST
TOPEKA, KS 66606
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Kongs, Assistant CFO & System Director & Controller
(785) 354-5844 Ext: 25844
Contract Pharmacy Representative
Stormont Vail Health
Joseph Rogers, Pharmacy Manager
(785) 270-8690
Signed By Date
7/13/2023
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