340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TRAV'S U-SAVE PHARMACY
CAH281328-00 MERRICK MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MERRICK MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281328-00
Entity Address
2802 28th Street
CENTRAL CITY, NE 68826
Medicare Provider Number
281328
Participating Start Date
1/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
TRAV'S U-SAVE PHARMACY
Pharmacy Address
1414 16TH ST
CENTRAL CITY, NE 68826
Pharmacy Comments
Contract Details
Approval Date
7/11/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Michelle Murray, CEO
(308) 946-3015
Contract Pharmacy Representative
Travis Kuchar, Owner
(308) 946-3859
Signed By Date
7/11/2017
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