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Walgreens Central Fill #21394
CAH171376-00 Hospital District #1 of Crawford County Kansas
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Covered Entity Details
Entity Name
Hospital District #1 of Crawford County Kansas
Subdivision Name
Girard Medical Center
Type
Critical Access Hospital
340B ID
CAH171376-00
Entity Address
302 North Hospital Drive
Girard, KS 66743
Medicare Provider Number
171376
Participating Start Date
10/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
Walgreens Central Fill #21394
Pharmacy Address
2601 Hughes Road
Suite 103
Liberty, MO 64068
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ruth Anne Duling, CEO
(620) 724-8291 Ext: 243
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/9/2023
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