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GREGWIRE DRUG STORE
CAH171350-00 Russell Regional Hospital
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Covered Entity Details
Entity Name
Russell Regional Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171350-00
Entity Address
200 S. Main Street
Russell, KS 67665
Medicare Provider Number
171350
Participating Start Date
7/1/2014
Last Recertification Date
8/12/2024
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
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/7/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Reginald Harold Courtois, Chief Executive Officer
(785) 483-0706
Contract Pharmacy Representative
Gregwire Drug Store
Pat Hilger, Owner
(785) 483-3301
Signed By Date
4/8/2014
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