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Hy-Vee Pharmacy Fulfillment Center #4016
CAH161373-00 RINGGOLD COUNTY HOSPITAL
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Covered Entity Details
Entity Name
RINGGOLD COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161373-00
Entity Address
504 N. CLEVELAND ST.
MOUNT AYR, IA 50854-2201
Medicare Provider Number
161373
Participating Start Date
7/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Hy-Vee Pharmacy Fulfillment Center #4016
Pharmacy Address
Hy-Vee Inc
4707 Fleur Dr
Des Moines, IA 50321
Pharmacy Comments
Contract Details
Approval Date
10/1/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Dee Walter, Chief Financial Officer
(641) 464-4549
Contract Pharmacy Representative
Hy-vee Inc.
Marshall Sanders, 340B Program Manager
(515) 267-6009
Signed By Date
10/1/2019
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