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HY-VEE PHARMACY FULFILLMENT CENTER 4016
CAH161347-00 FLOYD COUNTY HOSPITAL
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Covered Entity Details
Entity Name
FLOYD COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161347-00
Entity Address
800 11th Street
CHARLES CITY, IA 50616
Medicare Provider Number
161347
Participating Start Date
7/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY FULFILLMENT CENTER 4016
Pharmacy Address
HY-VEE INC
4707 FLUER DR
DES MOINES, IA 50321
Pharmacy Comments
11-22-2013 Address correction
Contract Details
Approval Date
7/2/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/14/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Ronald Vincent Timpe, CFO
(641) 257-4365
Contract Pharmacy Representative
Hy-Vee
Marshall Sanders, Assisant Vice President, Pharmacy Services
(515) 953-7950
Signed By Date
7/2/2018
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