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SCRIBNER DRUGSTORE
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
SCRIBNER DRUGSTORE
Pharmacy Address
MIDWEST HEALTH INNOVATIONS LLC
416 MAIN ST
SCRIBNER, NE 68057-3196
Pharmacy Comments
Contract Details
Approval Date
7/6/2016
Contract Begin Date
7/7/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerry Wordekemper, CEO/PRESIDENT
(402) 372-2404 Ext: 2101
Contract Pharmacy Representative
Tillara Kruse, Pharmacist/Owner
(402) 922-1227
Signed By Date
7/6/2016
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