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NUCARA PHARMACY #20
CAH161371-00 Winneshiek Medical Center
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Covered Entity Details
Entity Name
Winneshiek Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161371-00
Entity Address
901 Montgomery St
Decorah, IA 52101
Medicare Provider Number
161371
Participating Start Date
7/1/2014
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
NUCARA PHARMACY #20
Pharmacy Address
NUDAK VENTURES, LLC
119 N VINE ST
WEST UNION, IA 52175-1346
Pharmacy Comments
Contract Details
Approval Date
10/4/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve R Slessor, Chief Administrative Officer
(563) 382-2911
Contract Pharmacy Representative
Nucara Pharmacy #20
Hannah Lauer, PIC
(563) 422-3151
Signed By Date
10/4/2021
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