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EUREKA PHARMACY
CAH171339-00 GREENWOOD COUNTY HOSPITAL
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Covered Entity Details
Entity Name
GREENWOOD COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171339-00
Entity Address
100 W 16TH ST
EUREKA, KS 67045
Medicare Provider Number
171339
Participating Start Date
10/1/2014
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
EUREKA PHARMACY
Pharmacy Address
1602 N ELM ST STE A
EUREKA, KS 67045
Pharmacy Comments
Contract Details
Approval Date
3/9/2025
Contract Begin Date
3/9/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandra Dickerson, CEO
(620) 583-7451 Ext: 1062
Contract Pharmacy Representative
Eureka Pharmacy
Isaac Boone, Owner
(620) 583-5488
Signed By Date
3/9/2025
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