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COLUMBUS LOCAL PHARMACY
SCH450370-00 COLUMBUS COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
COLUMBUS COMMUNITY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450370-00
Entity Address
110 SHULT DRIVE
COLUMBUS, TX 78934
Medicare Provider Number
450370
Participating Start Date
1/1/2015
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
COLUMBUS LOCAL PHARMACY
Pharmacy Address
JNV CREATIVE CARE INC.
109 SHULT DR STE F
COLUMBUS, TX 78934-3009
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Vanek, CEO
(979) 493-7561
Contract Pharmacy Representative
Columbus Local Pharmacy
Nidhin Joseph, Pharmacist in Charge
(979) 500-4191
Signed By Date
1/15/2018
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