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NUCARA PHARMACY #30
CAH161310-00 ADAIR COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
ADAIR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161310-00
Entity Address
609 SE KENT STREET
GREENFIELD, IA 50849-9494
Medicare Provider Number
161310
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
NUCARA PHARMACY #30
Pharmacy Address
NUDAK VENTURES, LLC
107 N MAIN ST
LENOX, IA 50851
Pharmacy Comments
Contract Details
Approval Date
4/1/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Heather L Shaull, CFO
(641) 743-7238
Contract Pharmacy Representative
Nudak Ventures LLC
Lori Willis, Acquisitions Manager
(641) 366-3440 Ext: 127
Signed By Date
4/1/2019
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