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GOTHENBURG DISCOUNT PHARM INC
CAH281327-00 Cozad Community Hospital
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Covered Entity Details
Entity Name
Cozad Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281327-00
Entity Address
300 E 12 Street
Cozad, NE 69130
Medicare Provider Number
281327
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
GOTHENBURG DISCOUNT PHARM INC
Pharmacy Address
902 AVENUE D
GOTHENBURG, NE 69138
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/27/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Hunke, CFO
(308) 784-2261 Ext: 1209
Contract Pharmacy Representative
Curtis Discount Pharmacy
Dan Kreis, Pharmacy Owner
(308) 367-5100
Signed By Date
4/15/2021
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