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WAL-MART PHARMACY 10-0776
CAH281323-00 ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler
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Covered Entity Details
Entity Name
ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281323-00
Entity Address
104 W. 17TH STREET
SCHUYLER, NE 68661
Medicare Provider Number
281323
Participating Start Date
9/29/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0776
Pharmacy Address
3010 EAST 23RD AVENUE NORTH
FREMONT, NE 68025
Pharmacy Comments
Contract Details
Approval Date
7/17/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/9/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CONNIE Jean PETERS, President
(402) 352-4077
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/17/2020
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