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CYSTIC FIBROSIS SERVICES, LLC
CAH281306-00 KEARNEY CO HEALTH SERVICES
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Covered Entity Details
Entity Name
KEARNEY CO HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281306-00
Entity Address
727 EAST 1ST STREET
MINDEN, NE 68959
Medicare Provider Number
281306
Participating Start Date
10/1/2016
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
CYSTIC FIBROSIS SERVICES, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #16280
10530 JOHN W ELLIOTT DR STE 200
FRISCO, TX 75033
Pharmacy Comments
Contract Details
Approval Date
10/4/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luke David Poore, Chief Executive Officer
(308) 832-3400 Ext: 2800
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/4/2017
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