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LENOX PHARMACY
CAH391309-00 Barnes Kasson County Hospital
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Covered Entity Details
Entity Name
Barnes Kasson County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391309-00
Entity Address
2872 Turnpike Street
Susquehanna, PA 18847
Medicare Provider Number
391309
Participating Start Date
10/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
LENOX PHARMACY
Pharmacy Address
5879 STATE ROUTE 92 STE 3
KINGSLEY, PA 18826
Pharmacy Comments
10/24/2012 DEA address update (was RR 1 BOX 224, RTE. 92 & RTE. 106)
Contract Details
Approval Date
10/25/2012
Contract Begin Date
10/25/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara F Adornato, Executive Director
(570) 853-3135 Ext: 224
Contract Pharmacy Representative
Lenox Pharmacy
Scott W. Muller, Company President
(570) 222-5005
Signed By Date
9/27/2012
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