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HY-VEE PHARMACY (1505)
CH075660 RIVER HILLS COMMUNITY HEALTH CENTER, Inc
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Covered Entity Details
Entity Name
RIVER HILLS COMMUNITY HEALTH CENTER, Inc
Subdivision Name
River Hills Community Health Center, Inc
Type
HRSA-Funded Health Center
340B ID
CH075660
Entity Address
201 SOUTH MARKET ST
OTTUMWA, IA 52501
Grant Number
H80CS00796
Participating Start Date
4/1/2002
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY (1505)
Pharmacy Address
2453 N COURT
OTTUMWA, IA 52501
Pharmacy Comments
Contract Details
Approval Date
10/20/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/22/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
RICHARD W. JOHNSON, CEO
(641) 684-6896 Ext: 115
Contract Pharmacy Representative
Hy-vee Inc.
Marshall Sanders, 340B Program Manager
(515) 267-6009
Signed By Date
10/20/2016
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