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HY-VEE, INC.
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, INC.
Pharmacy Address
4707 FLEUR DR.
DES MOINES, IA 50321
Pharmacy Comments
Contract Details
Approval Date
7/22/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William M. Wypyski Jr., EXECUTIVE DIRECTOR
(712) 256-6571
Contract Pharmacy Representative
Hy-Vee
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
7/22/2020
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