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CORNER DRUG & GIFT
CAH171364-00 Osborne County Memorial Hospital
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Covered Entity Details
Entity Name
Osborne County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171364-00
Entity Address
237 W Harrison St
Osborne, KS 67473
Medicare Provider Number
171364
Participating Start Date
7/1/2014
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CORNER DRUG & GIFT
Pharmacy Address
823 MORGAN AVE
DOWNS, KS 67437-1623
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
7/1/2015
Agreement registered in error
Contacts
Covered Entity Signing Official
Kiley Floyd, CEO
(785) 346-2121
Contract Pharmacy Representative
Kelly Sy, Pharmacy Director
(785) 454-6614
Signed By Date
4/9/2015
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