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DUBOIS DRUG CO
CH086120 COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC.
Subdivision Name
Community Health Center of Central Wyoming
Type
HRSA-Funded Health Center
340B ID
CH086120
Entity Address
5000 Blackmore Road
Casper, WY 82609
Grant Number
H80CS00564
Participating Start Date
1/1/2001
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
DUBOIS DRUG CO
Pharmacy Address
126 E RAMSHORN ST
PO BOX 738
DUBOIS, WY 82513-0738
Pharmacy Comments
Contract Details
Approval Date
10/10/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/28/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cole White, CEO
(307) 233-6000
Contract Pharmacy Representative
Genoa Community Pharmacy
Robert Bailey, President
(402) 993-2400
Signed By Date
10/10/2018
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