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TOM'S REXALL DRUG
CAH281322-00 FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE
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Covered Entity Details
Entity Name
FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281322-00
Entity Address
430 NORTH MONITOR STREET
WEST POINT, NE 68788
Medicare Provider Number
281322
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
TOM'S REXALL DRUG
Pharmacy Address
124 N MAIN ST
WEST POINT, NE 68788-1416
Pharmacy Comments
Contract Details
Approval Date
10/1/2012
Contract Begin Date
10/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/24/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Ron Briggs, CEO
(402) 372-2404
Contract Pharmacy Representative
Jon Einfalt, CEO
(402) 372-2108
Signed By Date
10/1/2012
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