340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALMART PHARMACY 10-4625
CAH171313-00 Kearny County Hospital
Print
Covered Entity Details
Entity Name
Kearny County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171313-00
Entity Address
500 Thorpe St
Lakin, KS 67860
Medicare Provider Number
171313
Participating Start Date
10/1/2012
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-4625
Pharmacy Address
2424 N TAYLOR AVE
GARDEN CITY, KS 67846
Pharmacy Comments
Contract Details
Approval Date
1/8/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly Ann Speckman, Chief Financial Officer
(620) 355-7112 Ext: 1380
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
1/8/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session