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GOOD LIFE DISCOUNT PHARMACY
CAH281353-00 VALLEY COUNTY HOSPITAL DBA VALLEY COUNTY HEALTH SYSTEM
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Covered Entity Details
Entity Name
VALLEY COUNTY HOSPITAL DBA VALLEY COUNTY HEALTH SYSTEM
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281353-00
Entity Address
2707 L STREET
ORD, NE 68862-1275
Medicare Provider Number
281353
Participating Start Date
7/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
GOOD LIFE DISCOUNT PHARMACY
Pharmacy Address
GOOD LIFE PHARMACY
125 S 16TH ST
ORD, NE 68862
Pharmacy Comments
Contract Details
Approval Date
3/18/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William T. Sugg, President & CEO
(308) 728-4200
Contract Pharmacy Representative
Good Life Discount Pharmacy
Angie Svoboda, Pharmacist
(308) 728-3295
Signed By Date
1/15/2013
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