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HY-VEE DRUGSTORE PHARMACY #7030
CH074650 All Care Health Center
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Covered Entity Details
Entity Name
All Care Health Center
Subdivision Name
All Care Health Center
Type
HRSA-Funded Health Center
340B ID
CH074650
Entity Address
902 S 6th St
Council Bluffs, IA 51501-6441
Grant Number
H80CS00570
Participating Start Date
1/1/2002
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
HY-VEE DRUGSTORE PHARMACY #7030
Pharmacy Address
757 W. BROADWAY
COUNCIL BLUFFS, IA 51501
Pharmacy Comments
Contract Details
Approval Date
2/21/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/5/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
CECELIA CREIGHTON, EXECUTIVE DIRECTOR
(712) 256-6571
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
1/14/2013
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