340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MERCYONE GENESIS FIRSTMED SPECIALTY PHAR
CAH161313-00 Genesis Medical Center, DeWitt
Print
Covered Entity Details
Entity Name
Genesis Medical Center, DeWitt
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161313-00
Entity Address
1118 11th Street
DeWitt, IA 52742
Medicare Provider Number
161313
Participating Start Date
1/1/2012
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MERCYONE GENESIS FIRSTMED SPECIALTY PHAR
Pharmacy Address
GENVENTURES INC
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Edward Rogalski, Administrator
(309) 582-3700
Contract Pharmacy Representative
FirstMed Pharmacy
Jason Hansel, FirstMed Pharmacy Manager
(563) 421-2593
Signed By Date
4/12/2023
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