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CHERRYVALE PHARMACY
CAH171344-00 WILSON MEDICAL CENTER
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Covered Entity Details
Entity Name
WILSON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171344-00
Entity Address
2600 OTTAWA ROAD
NEODESHA, KS 66757
Medicare Provider Number
171344
Participating Start Date
4/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CHERRYVALE PHARMACY
Pharmacy Address
116 N. MAPLE ST.
SUITE B
CHERRYVALE, KS 67335-1332
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Gutschenritter, CFO
(620) 325-8388
Contract Pharmacy Representative
CHERRYVALE PHARMACY
Steven Charles, Owner
(620) 795-2233
Signed By Date
1/15/2018
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