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DILLONS PHARMACY #108
RRC170006-00 Mercy Hospital Pittsburg, Inc.
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Covered Entity Details
Entity Name
Mercy Hospital Pittsburg, Inc.
Subdivision Name
Type
Rural Referral Center
340B ID
RRC170006-00
Entity Address
1 MT. CARMEL WAY
1102 EAST CENTENNIAL
PITTSBURG, KS 66762
Medicare Provider Number
170006
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
DILLONS PHARMACY #108
Pharmacy Address
2600 NORTH BROADWAY
PITTSBURG, KS 66762
Pharmacy Comments
Contract Details
Approval Date
10/31/2012
Contract Begin Date
10/31/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra L. Bainbridge, Chief Financial Officer and Vice President of Finance
(620) 232-0114
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
9/19/2012
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