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RYAN PHARMACY
CAH161349-00 Virginia Gay Hospital
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Covered Entity Details
Entity Name
Virginia Gay Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161349-00
Entity Address
502 N 9th Ave
Vinton, IA 52349
Medicare Provider Number
161349
Participating Start Date
4/1/2012
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
RYAN PHARMACY
Pharmacy Address
1600 1ST ST E
INDEPENDENCE, IA 50644-3155
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/16/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michele Schoonover, Director General Services
(319) 472-6379
Contract Pharmacy Representative
RYAN PHARMACY
MITCHELL BARNETT, PHARMACIST IN CHARGE
(319) 334-7171
Signed By Date
1/15/2019
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