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COMMUNITY PHARMACY SERVICES
CAH281322-00 FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE
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Covered Entity Details
Entity Name
FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281322-00
Entity Address
430 NORTH MONITOR STREET
WEST POINT, NE 68788
Medicare Provider Number
281322
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY SERVICES
Pharmacy Address
21689 NORTHSTAR DR
GRETNA, NE 68028
Pharmacy Comments
Contract Details
Approval Date
10/2/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2021
Ownership change
Contacts
Covered Entity Signing Official
Alisa Ann Brunsing, CFO
(402) 372-6717
Contract Pharmacy Representative
Community Pharmacy Services
Mackenzie Marie Farr, Chief Operating Officer
(402) 289-0431 Ext: 117
Signed By Date
10/2/2019
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