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FREEMAN PHARMACY
CAH171346-00 Hospital District No 6 of Harper Co, KS
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Covered Entity Details
Entity Name
Hospital District No 6 of Harper Co, KS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171346-00
Entity Address
485 N. KS Hwy 2
Anthony, KS 67003
Medicare Provider Number
171346
Participating Start Date
7/1/2013
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
FREEMAN PHARMACY
Pharmacy Address
100 E SPRING AVE
CONWAY SPRINGS, KS 67031
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori Allen, Executive Director of Operations
(620) 914-1200 Ext: 2162
Contract Pharmacy Representative
Freeman Pharmacy
Lance Freeman, Mgr
(620) 842-5119
Signed By Date
1/12/2018
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