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MINNEOLA PHARMACY INC.
CAH171368-00 MINNEOLA DISTRICT HOSPITAL
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Covered Entity Details
Entity Name
MINNEOLA DISTRICT HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171368-00
Entity Address
212 MAIN ST
MINNEOLA, KS 67865
Medicare Provider Number
171368
Participating Start Date
7/1/2015
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MINNEOLA PHARMACY INC.
Pharmacy Address
131 S MAIN ST
PO BOX 460
MINNEOLA, KS 67865-9600
Pharmacy Comments
Contract Details
Approval Date
6/11/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Ownership change
Contacts
Covered Entity Signing Official
Deborah A. Bruner, CEO
(620) 885-4264
Contract Pharmacy Representative
Hodgeman County Pharmacy
Mike Coast, Pharmacist
(620) 885-2055
Signed By Date
6/11/2015
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