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AMBER PHARMACY
CAH281360-00 BOX BUTTE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
BOX BUTTE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281360-00
Entity Address
2101 BOX BUTTE AVENUE
ALLIANCE, NE 69301
Medicare Provider Number
281360
Participating Start Date
7/1/2019
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
AMBER PHARMACY
Pharmacy Address
AMBER ENTERPRISES, INC.
10004 S 152ND STREET
SUITE A
OMAHA, NE 68138-3931
Pharmacy Comments
Contract Details
Approval Date
10/24/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/11/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lori Mazanec, Chief Executive Officer
(308) 762-6660
Contract Pharmacy Representative
Amber Enterprises
Kelley Miller, 340B Program Manager
(402) 861-7560
Signed By Date
10/24/2019
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