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COMMUNITY PHARMACY SERVICES LLC
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
COMMUNITY PHARMACY SERVICES LLC
Pharmacy Address
DBA CONSONUS PHARMACY OVERTON
509 C ST
OVERTON, NE 68863
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
Community Pharmacy Services
Dave Spurgeon, Billing Director
(402) 289-0431 Ext: 131
Signed By Date
4/15/2021
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