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O'NEILL FAMILY PHARMACY
CAH281329-00 AVERA ST. ANTHONY'S HOSPITAL
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Covered Entity Details
Entity Name
AVERA ST. ANTHONY'S HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281329-00
Entity Address
300 NORTH 2ND ST
O'NEILL, NE 68763
Medicare Provider Number
281329
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
O'NEILL FAMILY PHARMACY
Pharmacy Address
317 EAST DOUGLAS STREET
O'NEILL, NE 68763
Pharmacy Comments
Contract Details
Approval Date
6/1/2012
Contract Begin Date
6/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2016
Ownership change
Contacts
Covered Entity Signing Official
MICHAEL L. GARMAN, CFO
(402) 336-5132
Contract Pharmacy Representative
Kevin Barlow, Owner
(402) 336-2660
Signed By Date
5/8/2012
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