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AUBURN PHARMACY #190
CAH171358-00 LINDSBORG COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
LINDSBORG COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171358-00
Entity Address
605 West Lincoln
Lindsborg, KS 67456
Medicare Provider Number
171358
Participating Start Date
10/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
AUBURN PHARMACY #190
Pharmacy Address
AUBURN PHARMACY, INC.
216 N HARRISON ST
LINDSBORG, KS 67456-2216
Pharmacy Comments
Contract Details
Approval Date
1/4/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry VanDerWege, Administrator
(785) 227-3308 Ext: 100
Contract Pharmacy Representative
AuBurn Pharmacies
Michael W. Burns, President/CEO
(785) 448-3600
Signed By Date
1/4/2016
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