340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HY-VEE PHARMACY FULFILLMENT CENTER 4016
CAH161381-00 SANFORD SHELDON MEDICAL CENTER
Print
Covered Entity Details
Entity Name
SANFORD SHELDON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161381-00
Entity Address
118 N. 7TH AVE
SHELDON, IA 51201-1235
Medicare Provider Number
161381
Participating Start Date
4/1/2011
Last Recertification Date
9/4/2024
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
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stan Knobloch, Director of Finance
(712) 472-6143
Contract Pharmacy Representative
Hy Vee
Kristin Williams, Senior VP, Pharmacy Operations
(515) 559-5780
Signed By Date
10/12/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session