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KINSLEY DRUG CO
CAH171317-00 EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
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Covered Entity Details
Entity Name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171317-00
Entity Address
620 W 8TH STREET
KINSLEY, KS 67547
Medicare Provider Number
171317
Participating Start Date
4/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
KINSLEY DRUG CO
Pharmacy Address
207 E 6TH ST
KINSLEY, KS 67547
Pharmacy Comments
Contract Details
Approval Date
4/10/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Krickbaum, Chief Executive Officer
(620) 659-3621 Ext: 226
Contract Pharmacy Representative
Brad Eustace, Owner & Pharmacist
(620) 659-2481
Signed By Date
4/10/2013
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