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KANSAS CVS PHARMACY, L.L.C.
CAH171382-00 Atchison Hospital Association
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Covered Entity Details
Entity Name
Atchison Hospital Association
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171382-00
Entity Address
DBA: Amberwell Atchison Association
800 Raven Hill Drive
Atchison, KS 66002
Medicare Provider Number
171382
Participating Start Date
1/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
KANSAS CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05889
400 SOUTH 10TH ST.
ATCHISON, KS 66002
Pharmacy Comments
Contract Details
Approval Date
10/2/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gary R. Foll, CFO
(913) 367-2131
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
10/2/2013
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