340B Drug Pricing Program Database


HERITAGE PHARMACY - FORT MADISON - information as of 5/21/2025 12:29:11 AM


HERITAGE PHARMACY - FORT MADISON

SOUTHEAST IOWA REGIONAL MEDICAL CENTER
3032 AVENUE L
SUITE 3
FORT MADISON, IA 52627



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH160057Southeast Iowa Regional Medical Center Disproportionate Share Hospital1221 SOUTH GEAR AVENUE
WEST BURLINGTONIA10/01/2024 10/1/2024 12:01 AM
DetailsDSH160057QSoutheast Iowa Regional Medical CenterEMERGENCY DEPARTMENT - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Emergency DepartmentDisproportionate Share Hospital5445 Avenue O
Fort MadisonIA01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   4/13/2023 5:26 PM
DetailsIs DeletedInsert  False4/13/2023 5:26 PM
AddressesPharmacy AddressInsert  HERITAGE PHARMACY - FORT MADISON SOUTHEAST IOWA REGIONAL MEDICAL CENTER 3032 AVENUE L SUITE 3 FORT MADISON, IA 526274/13/2023 5:26 PM
DetailsNameInsert  HERITAGE PHARMACY - FORT MADISON4/13/2023 5:26 PM