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NUCARA PHARMACY #30
CAH161365-00 GREATER REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
GREATER REGIONAL MEDICAL CENTER
Subdivision Name
DBA GREATER REGIONAL MEDICAL CENTER
Type
Critical Access Hospital
340B ID
CAH161365-00
Entity Address
1700 WEST TOWNLINE ST
CRESTON, IA 50801
Medicare Provider Number
161365
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
NUCARA PHARMACY #30
Pharmacy Address
NUDAK VENTURES, LLC
107 N MAIN ST
LENOX, IA 50851
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MONTE NEITZEL, CEO
(641) 782-7091
Contract Pharmacy Representative
Nudak Ventures LLC
Lori Willis, Acquisitions Manager
(641) 366-3440 Ext: 127
Signed By Date
7/14/2020
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