Please provide up to three (3) contacts for your 340B program that will receive future communications from APS about 340B issues. We appreciate your assistance in completing this survey by January 31, 2021. If you should have any questions, please contact Dennis George at dennis.george@apskc.org or (913) 327-8730.

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* Contact #1

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* Contact #2

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* Contact #3

Thank you for taking the time to respond to this survey.

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