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COMMUNITY PHARMACY SERVICES
CAH281307-00 Saunders Medical Center
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Covered Entity Details
Entity Name
Saunders Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281307-00
Entity Address
1760 COUNTY ROAD "J"
WAHOO, NE 68066
Medicare Provider Number
281307
Participating Start Date
4/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY SERVICES
Pharmacy Address
21689 NORTHSTAR DR
GRETNA, NE 68028
Pharmacy Comments
Contract Details
Approval Date
10/18/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2021
Ownership change
Contacts
Covered Entity Signing Official
Tyler Toline, CEO
(402) 443-4191 Ext: 370
Contract Pharmacy Representative
Kyle Janssen, Owner
(402) 289-0431
Signed By Date
10/18/2016
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