340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMUNITY PHARMACY SERVICES LLC
CAH281312-00 Genoa Community Hospital
Print
Covered Entity Details
Entity Name
Genoa Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281312-00
Entity Address
706 Ewing Ave.
Genoa, NE 68640
Medicare Provider Number
281312
Participating Start Date
1/1/2018
Last Recertification Date
8/19/2024
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
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amanda Roebuck, CEO
(402) 993-4583
Contract Pharmacy Representative
Community Pharmacy Services
Dave Spurgeon, Director of Billing
(402) 289-0431 Ext: 131
Signed By Date
1/5/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session