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WALDRON'S PHARMACY
CAH171343-00 STANTON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
STANTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171343-00
Entity Address
404 NORTH CHESTNUT STREET
JOHNSON, KS 67855
Medicare Provider Number
171343
Participating Start Date
7/1/2015
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WALDRON'S PHARMACY
Pharmacy Address
WALDRON PHARMACY, INC
111 S. MAIN ST
P.O. BOX 579
JOHNSON, KS 67855
Pharmacy Comments
Contract Details
Approval Date
5/20/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Tusten, CEO
(620) 492-6250 Ext: 125
Contract Pharmacy Representative
Signed By Date
5/20/2015
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