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CYSTIC FIBROSIS SERVICES, LLC
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
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
1/3/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cory D Nelson, CEO
(402) 993-2283
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/3/2018
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