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HILLSBORO HOMETOWN PHARMACY
CAH171356-00 ST. LUKE HOSPITAL
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Covered Entity Details
Entity Name
ST. LUKE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171356-00
Entity Address
535 SOUTH FREEBORN
MARION, KS 66861
Medicare Provider Number
171356
Participating Start Date
7/1/2015
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
HILLSBORO HOMETOWN PHARMACY
Pharmacy Address
LEGAL NAME GREENHAW PHARMACY INC
507 N ASH ST
HILLSBORO, KS 67063-1102
Pharmacy Comments
Contract Details
Approval Date
10/12/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeremy Ensey, CEO
(620) 382-2177 Ext: 111
Contract Pharmacy Representative
GreenhawPharmacy Inc
Eric Driggers, Owner / Manager
(620) 947-3784
Signed By Date
10/12/2015
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