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HY-VEE PHARMACY FULFILLMENT CENTER 4016
CAH261321-00 Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center
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Covered Entity Details
Entity Name
Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261321-00
Entity Address
2799 N Washington
CHILLICOTHE, MO 64601
Medicare Provider Number
261321
Participating Start Date
9/7/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY FULFILLMENT CENTER 4016
Pharmacy Address
HY-VEE INC
4707 FLUER DR
DES MOINES, IA 50321
Pharmacy Comments
11-22-2013 Address correction
Contract Details
Approval Date
5/1/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Schieber, CEO Critical Access Region
(660) 214-8104
Contract Pharmacy Representative
Hy-Vee
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
5/1/2023
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