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BOB'S U-SAVE PHARMACY
CAH281312-00 Genoa Community Hospital
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Covered Entity Details
Entity Name
Genoa Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281312-00
Entity Address
706 Ewing Ave.
Genoa, NE 68640
Medicare Provider Number
281312
Participating Start Date
1/1/2018
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
BOB'S U-SAVE PHARMACY
Pharmacy Address
2759 33RD AVENUE
COLUMBUS, NE 68601-2327
Pharmacy Comments
Contract Details
Approval Date
11/2/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Cory D Nelson, CEO
(402) 993-2283
Contract Pharmacy Representative
Bob's U-Save Pharmacy
Bob Ellsworth, Owner/ Pharmacist
(402) 564-2883
Signed By Date
10/3/2017
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