340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-0776
CAH281323-00 ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER d/b/a CHI Health Schuyler
Print
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
WAL-MART PHARMACY 10-0776
Pharmacy Address
3010 EAST 23RD AVENUE NORTH
FREMONT, NE 68025
Pharmacy Comments
Contract Details
Approval Date
12/6/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CONNIE Jean PETERS, President
(402) 352-4077
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/15/2012
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