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HY-VEE MAINSTREET PHARMACY #7070
CH070890 SIOUXLAND COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SIOUXLAND COMMUNITY HEALTH CENTER
Subdivision Name
SIOUXLAND COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH070890
Entity Address
1021 Nebraska St
Sioux City, IA 51105-1436
Grant Number
H80CS00535
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
HY-VEE MAINSTREET PHARMACY #7070
Pharmacy Address
2611 PIERCE ST
SIOUX CITY, IA 51104
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARI E KAPTAIN-DAHLEN, CEO
(712) 202-1011 Ext: 1011
Contract Pharmacy Representative
Hy-Vee
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
4/18/2017
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