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PROCARE PHARMACY, L.L.C.
CAH281359-00 MEMORIAL COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281359-00
Entity Address
810 N. 22ND ST
BLAIR, NE 68008
Medicare Provider Number
281359
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #102
2101 N URSULA STREET UNIT 35
AURORA, CO 80045-7426
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JENNIFER NEWBY, Operations Director, Finance and Support Services
(402) 426-1295
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/17/2023
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