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FRANCISCAN PHARMACY OAKLAND
CAH281321-00 OAKLAND MERCY DBA MERCYONE OAKLAND MEDICAL CENTER
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Covered Entity Details
Entity Name
OAKLAND MERCY DBA MERCYONE OAKLAND MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281321-00
Entity Address
601 EAST 2ND STREET
OAKLAND, NE 68045
Medicare Provider Number
281321
Participating Start Date
7/1/2017
Last Recertification Date
9/11/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
FRANCISCAN PHARMACY OAKLAND
Pharmacy Address
301 N OAKLAND AVE
OAKLAND, NE 68045
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
12/31/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jayma Brown, DON
(402) 685-5601
Contract Pharmacy Representative
Corner Drug Store
Richard Mulder, Owner
(402) 685-5883
Signed By Date
7/5/2017
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