Contract Pharmacy Details

HEART CITY DRUG
CAH281344-00 Cherry County Hospital

Covered Entity Details

Entity Name

Cherry County Hospital

Subdivision Name

Type

Critical Access Hospital

340B ID

CAH281344-00

Entity Address

510 N Green St
Valentine, NE 69201-0000

Medicare Provider Number

281344

Participating Start Date

10/1/2013

Last Recertification Date

8/22/2024

Pharmacy Details

Pharmacy Name

HEART CITY DRUG

Pharmacy Address

ONE 2 ONE VALENTINE, LLC
110 N MAIN ST
VALENTINE, NE 69201

Pharmacy Comments

Contract Details

Approval Date

7/5/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/15/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Peggy J. Snell, CFO
(402) 376-2525 Ext: 122

Contract Pharmacy Representative

Giovanni Infante, Managing Director
(925) 719-5809

Signed By Date

7/5/2017

340B Drug Pricing Program Database