340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MIDWEST FAMILY HEALTH
CAH171353-00 Phillips County Hospital Oper
Print
Covered Entity Details
Entity Name
Phillips County Hospital Oper
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171353-00
Entity Address
1150 State St
Phillipsburg, KS 67661-1743
Medicare Provider Number
171353
Participating Start Date
10/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MIDWEST FAMILY HEALTH
Pharmacy Address
300 STATE ST
PHILLIPSBURG, KS 67661-1930
Pharmacy Comments
Contract Details
Approval Date
1/17/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dave Engel, CEO
(785) 543-5226
Contract Pharmacy Representative
Robert Wenzl, Owner
(785) 543-5131
Signed By Date
1/9/2013
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