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HY-VEE PHARMACY SOLUTIONS
CAH161344-00 WASHINGTON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
WASHINGTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161344-00
Entity Address
400 E POLK ST.
WASHINGTON, IA 52353
Medicare Provider Number
161344
Participating Start Date
9/27/2010
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY SOLUTIONS
Pharmacy Address
HYVACS, LLC
10004 S 152ND ST STE C
OMAHA, NE 68138
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
11/16/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shelli Cleverley, CFO
(319) 863-3902
Contract Pharmacy Representative
Hy-Vee Pharmacy Solutions
Kelley Miller, Manager, Business Development
(877) 794-9833
Signed By Date
1/15/2019
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