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TOOLEY DRUG COMPANY
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
TOOLEY DRUG COMPANY
Pharmacy Address
TOOLEY CLINIC PHARMACY
4306 38TH STREET
COLUMBUS, NE 68601
Pharmacy Comments
Contract Details
Approval Date
1/8/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/5/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rebecca J. Rayman, Executive Director
(402) 562-8950
Contract Pharmacy Representative
Tim Tooley, Owner/ Pharmacist
(402) 564-7205
Signed By Date
1/2/2013
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