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ALBERTSON'S LLC
CAH531305-00 PLATTE COUNTY HOSPITAL
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Covered Entity Details
Entity Name
PLATTE COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531305-00
Entity Address
201 14TH STREET
WHEATLAND, WY 82201
Medicare Provider Number
531305
Participating Start Date
9/28/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ALBERTSON'S LLC
Pharmacy Address
OSCO PHARMACY #66
5800 YELLOWSTONE ROAD
CHEYENNE, WY 82009
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/5/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Cussins, CFO
(307) 534-7152
Contract Pharmacy Representative
SAFEWAY
Charles Hanson, 340B Program Manager
(208) 395-6304
Signed By Date
10/15/2018
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