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GLOBE REXALL DRUG STORE INC
CAH281304-00 Thayer County Memorial Hospital dba Thayer County Health Services
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Covered Entity Details
Entity Name
Thayer County Memorial Hospital dba Thayer County Health Services
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281304-00
Entity Address
120 Park Avenue
Hebron, NE 68370
Medicare Provider Number
281304
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
GLOBE REXALL DRUG STORE INC
Pharmacy Address
GLOBE REXALL DRUG STORE INC
424 E STREET
FAIRBURY, NE 68352-6835
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Burd, CEO
(402) 768-4614
Contract Pharmacy Representative
Globe Rexall
Robert Atkins, Pharmacist
(402) 729-2620
Signed By Date
10/13/2017
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