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IRWIN-POTTER PHARMACY LLC
CAH171346-00 Hospital District No 6 of Harper Co, KS
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Covered Entity Details
Entity Name
Hospital District No 6 of Harper Co, KS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171346-00
Entity Address
485 N. KS Hwy 2
Anthony, KS 67003
Medicare Provider Number
171346
Participating Start Date
7/1/2013
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
IRWIN-POTTER PHARMACY LLC
Pharmacy Address
D/B/A IRWIN-POTTER DRUG
202 W MAIN ST
ANTHONY, KS 67003
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Justin B. Anderson, CEO
(620) 842-5111 Ext: 111
Contract Pharmacy Representative
Freeman Pharmacy
Lance Freeman, Mgr
(620) 842-5119
Signed By Date
10/13/2014
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