340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCOTT PHARMACY
CAH161335-00 PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center
Print
Covered Entity Details
Entity Name
PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161335-00
Entity Address
1600 First Street East
INDEPENDENCE, IA 50644
Medicare Provider Number
161335
Participating Start Date
1/1/2016
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SCOTT PHARMACY
Pharmacy Address
238 S MAIN ST
PO BOX 188
FAYETTE, IA 52142
Pharmacy Comments
Contract Details
Approval Date
4/3/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Benjamin W. Stevens, Chief Financial Officer
(319) 332-0880
Contract Pharmacy Representative
Scott Pharmacy
David Scott, Owner
(563) 425-4530
Signed By Date
4/3/2019
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