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KMART PHARMACY #7767
CAH161347-00 FLOYD COUNTY HOSPITAL
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Covered Entity Details
Entity Name
FLOYD COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161347-00
Entity Address
800 11th Street
CHARLES CITY, IA 50616
Medicare Provider Number
161347
Participating Start Date
7/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
KMART PHARMACY #7767
Pharmacy Address
1405 S GRAND AVE
CHARLES CITY, IA 50616-3670
Pharmacy Comments
Contract Details
Approval Date
8/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Ronald Vincent Timpe, CFO
(641) 257-4365
Contract Pharmacy Representative
Business Finance Pharmacy
Bhumi Patel, Manager
(847) 286-7865
Signed By Date
8/12/2019
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