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MEDICAP PHARMACY
CAH161325-00 GREENE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
GREENE COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161325-00
Entity Address
1000 W LINCOLN WAY
JEFFERSON, IA 50129
Medicare Provider Number
161325
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MEDICAP PHARMACY
Pharmacy Address
ANGLEMYER PHARMACIES LLC
400 N ELM ST
MEDICAP PHARMACY
JEFFERSON, IA 50129-1420
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/16/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Heather Lynn Paris, Chief Financial Officer
(515) 386-0115
Contract Pharmacy Representative
Anglemyer Pharmacies LLC
Taylor C Anglemyer, Owner
(515) 386-2164
Signed By Date
7/12/2019
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