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MAHANNA PHARMACY INC
CAH171347-00 SHERIDAN COUNTY HOSPITAL
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Covered Entity Details
Entity Name
SHERIDAN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171347-00
Entity Address
826 18TH STREET
HOXIE, KS 67740-0167
Medicare Provider Number
171347
Participating Start Date
7/1/2015
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
MAHANNA PHARMACY INC
Pharmacy Address
833 MAIN
PO BOX 288
HOXIE, KS 67740-0288
Pharmacy Comments
Contract Details
Approval Date
7/16/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Davis, CEO
(785) 675-3281 Ext: 127
Contract Pharmacy Representative
Dave Mahanna, Owner
(785) 675-3461
Signed By Date
7/16/2015
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