340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICAL PHARMACY P.A.
CAH171319-00 Rural Health Resources of Jackson County, Inc. d/b/a Holton Community Hospital
Print
Covered Entity Details
Entity Name
Rural Health Resources of Jackson County, Inc. d/b/a Holton Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171319-00
Entity Address
1110 Columbine Dr.
Holton, KS 66436
Medicare Provider Number
171319
Participating Start Date
10/1/2012
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
MEDICAL PHARMACY P.A.
Pharmacy Address
1100 COLUMBINE DR STE A
HOLTON, KS 66436-8839
Pharmacy Comments
Contract Details
Approval Date
7/6/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carrie Lutz, CEO
(785) 364-9645
Contract Pharmacy Representative
Joseph Gilliland, Owner
(785) 889-7181
Signed By Date
7/6/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session