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CAREMARK, L.L.C.
CAH161328-00 REGIONAL HEALTH SERVICES OF HOWARD COUNTY
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Covered Entity Details
Entity Name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161328-00
Entity Address
235 8TH AVENUE WEST
CRESCO, IA 52136
Medicare Provider Number
161328
Participating Start Date
9/13/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory J. Burkel, EXECUTIVE FINANCE OFFICER
(641) 732-6070
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/5/2020
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