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AUBURN PHARMACY, INC.
CH071247C Salina Health Education Foundation
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Covered Entity Details
Entity Name
Salina Health Education Foundation
Subdivision Name
Salina Family Eye Care Center
Type
HRSA-Funded Health Center
340B ID
CH071247C
Entity Address
2676 Planet Ave
Salina, KS 67401
Grant Number
H80CS04216
Participating Start Date
7/1/2022
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
AUBURN PHARMACY, INC.
Pharmacy Address
209 W 2ND ST
MINNEAPOLIS, KS 67467-2311
Pharmacy Comments
Contract Details
Approval Date
4/5/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah K. Demel, CFO
(785) 825-7251 Ext: 319
Contract Pharmacy Representative
AUBURN PHARMACY, INC.
Mike Beisner, Pharmacy Operations Director
(620) 364-3388
Signed By Date
4/5/2024
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