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Walgreens Central Fill #21394
CAH171333-00 Clara Barton Hospital Association
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Covered Entity Details
Entity Name
Clara Barton Hospital Association
Subdivision Name
Clara Barton Hospital & Clinics
Type
Critical Access Hospital
340B ID
CAH171333-00
Entity Address
250 W. 9th St.
Hoisington, KS 67544-1799
Medicare Provider Number
171333
Participating Start Date
10/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21394
Pharmacy Address
2601 Hughes Road
Suite 103
Liberty, MO 64068
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amanda Hoffman, Director of Pharmacy
(620) 653-2114 Ext: 1351
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2023
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