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PRICE CHOPPER PHARMACY #319
DSH260006 HEARTLAND REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
HEARTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260006
Entity Address
5325 FARAON
ST. JOSEPH, MO 64506-3398
Medicare Provider Number
260006
Participating Start Date
1/1/2024
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
PRICE CHOPPER PHARMACY #319
Pharmacy Address
COSENTINO ENTERPRISES INC
15700 N US HIGHWAY 169 STE E
SMITHVILLE, MO 64089
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Edward P Kammerer, 340B Administrator
(816) 271-1236
Contract Pharmacy Representative
Cosentino Group
Frank Wolff, Director of Pharmacy
(913) 749-1511
Signed By Date
10/3/2023
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