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DILLON PHARMACY #50
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
DILLON PHARMACY #50
Pharmacy Address
1605 S RANGE ROAD
COLBY, KS 67701
Pharmacy Comments
Contract Details
Approval Date
7/18/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/18/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Niceta Farber, CEO
(785) 675-3281
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/18/2017
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