340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GREGWIRE DRUG STORE
CAH171333-00 Clara Barton Hospital Association
Print
Covered Entity Details
Entity Name
Clara Barton Hospital Association
Subdivision Name
Clara Barton Hospital & Clinics
Type
Critical Access Hospital
340B ID
CAH171333-00
Entity Address
250 W. 9th St.
Hoisington, KS 67544-1799
Medicare Provider Number
171333
Participating Start Date
10/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
GREGWIRE DRUG STORE
Pharmacy Address
HILGER ENTERPRISES
714 N MAIN ST
RUSSELL, KS 67665-1931
Pharmacy Comments
Contract Details
Approval Date
4/9/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jim Blackwell, President/CEO
(620) 653-2114 Ext: 1247
Contract Pharmacy Representative
Patrick Hilger, President
(785) 483-3301
Signed By Date
4/9/2015
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