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FREEMAN PHARMACY
CAH171366-00 Hospital District #5 of Harper County Kansas
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Covered Entity Details
Entity Name
Hospital District #5 of Harper County Kansas
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171366-00
Entity Address
700 W. 13th Street
Harper, KS 67058
Medicare Provider Number
171366
Participating Start Date
4/1/2013
Last Recertification Date
8/26/2016
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
FREEMAN PHARMACY
Pharmacy Address
100 E SPRING AVE
CONWAY SPRINGS, KS 67031
Pharmacy Comments
Contract Details
Approval Date
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Bill Widener, CEO
(620) 896-7324 Ext: 251
Contract Pharmacy Representative
Lance Freeman, Owner/Pharmacist
(620) 456-2220
Signed By Date
10/15/2013
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