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DILLON PHARMACY #50
CHC28373-00 SHERIDAN, COUNTY OF
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Covered Entity Details
Entity Name
SHERIDAN, COUNTY OF
Subdivision Name
Hoxie Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CHC28373-00
Entity Address
826 18th Street, Suite A
Hoxie, KS 67740-0415
Grant Number
H80CS28373
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
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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