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YOUR NEIGHBORHOOD PHARMACY
CAH161340-00 DECATUR COUNTY HOSPITAL
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Covered Entity Details
Entity Name
DECATUR COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161340-00
Entity Address
1405 NW CHURCH STREET
LEON, IA 50144
Medicare Provider Number
161340
Participating Start Date
9/30/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
YOUR NEIGHBORHOOD PHARMACY
Pharmacy Address
510 E JEFFERSON ST STE A
CORYDON, IA 50060-1812
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Johnston, Chief Executive Officer
(641) 446-2339
Contract Pharmacy Representative
Wayne County Hospital
Pam Chambers, Pharmacist
(641) 872-2260 Ext: 5384
Signed By Date
4/15/2022
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