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HY-VEE PHARMACY FULFILLMENT CENTER 4016
CAH161337-00 VAN BUREN COUNTY HOSPITAL
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Covered Entity Details
Entity Name
VAN BUREN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161337-00
Entity Address
304 FRANKLIN STREET
KEOSAUQUA, IA 52565-0070
Medicare Provider Number
161337
Participating Start Date
7/1/2017
Last Recertification Date
8/13/2024
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
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kara McEntee, CFO
(319) 293-8722
Contract Pharmacy Representative
Hy-Vee
Marshall Sanders, Assisant Vice President, Pharmacy Services
(515) 953-7950
Signed By Date
1/15/2019
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