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RAYS PHARMACY
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
RAYS PHARMACY
Pharmacy Address
414 MAIN ST.
BOX 428
QUINTER, KS 67752
Pharmacy Comments
Contract Details
Approval Date
7/18/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Niceta Farber, CEO
(785) 675-3281
Contract Pharmacy Representative
Rays Pharmacy
Jack Tebow, PIC/Pres
(785) 754-3312
Signed By Date
7/18/2016
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