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GLOBE REXALL DRUG STORE INC
CAH281319-00 JEFFERSON COMMUNITY HEALTH CENTER DBA JEFFERSON COMMUNITY HEALTH & LIFE
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Covered Entity Details
Entity Name
JEFFERSON COMMUNITY HEALTH CENTER DBA JEFFERSON COMMUNITY HEALTH & LIFE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281319-00
Entity Address
2200 H ST
FAIRBURY, NE 68352
Medicare Provider Number
281319
Participating Start Date
1/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
GLOBE REXALL DRUG STORE INC
Pharmacy Address
GLOBE REXALL DRUG STORE INC
424 E STREET
FAIRBURY, NE 68352-6835
Pharmacy Comments
Contract Details
Approval Date
1/16/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/3/2023
Ownership change
Contacts
Covered Entity Signing Official
CHAD JURGENS, CEO
(402) 729-3354 Ext: 4497
Contract Pharmacy Representative
Globe Rexall
Robert Atkins, Pharmacist
(402) 729-2620
Signed By Date
1/16/2014
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