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NEBRASKA CVS PHARMACY, L.L.C.
CH078030 EAST CENTRAL DISTRICT HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
EAST CENTRAL DISTRICT HEALTH DEPARTMENT
Subdivision Name
East Central District Health Department/Good Neighbor Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH078030
Entity Address
4321 41st Ave
COLUMBUS, NE 68601-2131
Grant Number
H80CS00862
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NEBRASKA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10293
1301 WEST NORFOLK AVE.
NORFOLK, NE 68701
Pharmacy Comments
Contract Details
Approval Date
4/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth M Wewel, Cfo
(402) 562-8951
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/6/2020
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