340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GREENWOOD DRUG, INC
DSH160110 Allen Memorial Hospital Corporation
Print
Covered Entity Details
Entity Name
Allen Memorial Hospital Corporation
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH160110
Entity Address
1825 Logan Avenue
Waterloo, IA 50703-1916
Medicare Provider Number
160110
Participating Start Date
1/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
GREENWOOD DRUG, INC
Pharmacy Address
GREENWOOD COMPLIANCE PHARMACY
2104 KIMBALL AVE STE B
WATERLOO, IA 50702-5037
Pharmacy Comments
Contract Details
Approval Date
1/13/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pamela K. Delagardelle, President/CEO
(319) 235-3606
Contract Pharmacy Representative
Greenwood Pharmacy
Robert Greenwood, President
(319) 236-8067
Signed By Date
1/13/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session