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SCHUYLER PHARMACY,INC
CAH281323-00 ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler
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Covered Entity Details
Entity Name
ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281323-00
Entity Address
104 W. 17TH STREET
SCHUYLER, NE 68661
Medicare Provider Number
281323
Participating Start Date
9/29/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SCHUYLER PHARMACY,INC
Pharmacy Address
122 WEST 16TH
PO BOX 524
SCHUYLER, NE 68661
Pharmacy Comments
Contract Details
Approval Date
10/3/2012
Contract Begin Date
10/3/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2016
Ownership change
Contacts
Covered Entity Signing Official
CONNIE Jean PETERS, President
(402) 352-4077
Contract Pharmacy Representative
Blain Larson, Owner/Pharmacist in Charge
(402) 352-3020
Signed By Date
9/10/2012
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