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OLSENS CORNER DRUG STORE
CAH291308-00 HUMBOLDT GENERAL HOSPITAL
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Covered Entity Details
Entity Name
HUMBOLDT GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH291308-00
Entity Address
118 EAST HASKELL STREET
WINNEMUCCA, NV 89445
Medicare Provider Number
291308
Participating Start Date
4/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
OLSENS CORNER DRUG STORE
Pharmacy Address
1041 GRASS VALLEY RD STE A
WINNEMUCCA, NV 89445-6086
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Arthur Frable, Chief Executive Officer
(775) 623-5222
Contract Pharmacy Representative
Olsen's Corner Drug Store
Christopher Olsen, Owner
(775) 625-2777
Signed By Date
7/16/2018
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