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COMMUNITY PHARMACY SERVICES LLC
CAH281339-00 MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MEMORIAL HEALTH CARE SYSTEMS DBA MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281339-00
Entity Address
300 NORTH COLUMBIA AVENUE
SEWARD, NE 68434-2299
Medicare Provider Number
281339
Participating Start Date
7/1/2011
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY SERVICES LLC
Pharmacy Address
DBA CONSONUS PHARMACY GRETNA
21689 NORTHSTAR DR
GRETNA, NE 68028
Pharmacy Comments
Contract Details
Approval Date
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/5/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROGER REAMER, CHIEF EXECUTIVE OFFICER
(402) 646-4629
Contract Pharmacy Representative
Community Pharmacy Services
Dave Spurgeon, Director of Billing
(402) 289-0431 Ext: 131
Signed By Date
4/13/2021
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