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KOHLL'S RX
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
KOHLL'S RX
Pharmacy Address
SAKRX, LLC
2915 LEAVENWORTH ST
OMAHA, NE 68105-2739
Pharmacy Comments
Contract Details
Approval Date
7/7/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/2/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alisa Ann Brunsing, CFO
(402) 372-6717
Contract Pharmacy Representative
Kohll's RX
Denise White, Pharmacist
(403) 973-1914
Signed By Date
7/7/2020
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