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ROCK COUNTY PHARMACY
CAH281325-00 Brown County Hospital
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Covered Entity Details
Entity Name
Brown County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281325-00
Entity Address
945 E. Zero St.
Ainsworth, NE 69210-1556
Medicare Provider Number
281325
Participating Start Date
4/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
ROCK COUNTY PHARMACY
Pharmacy Address
103 W HIGHWAY 20
BASSETT, NE 68714
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John W Werner, CEO
(402) 387-2800
Contract Pharmacy Representative
Rock County Hospital
Michelle Lyn Sinsel, Director of Pharmacy
(402) 684-3366
Signed By Date
7/15/2019
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