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NUCARA SPECIALTY PHARMACY
STD501121 Grinnell College
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Covered Entity Details
Entity Name
Grinnell College
Subdivision Name
Student Health and Wellness
Type
Sexually Transmitted Diseases
340B ID
STD501121
Entity Address
1119 6th Ave
SHAW
Grinnell, IA 50112
Grant Number
NH25PS005158
Participating Start Date
1/1/2023
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
NUCARA SPECIALTY PHARMACY
Pharmacy Address
NUDAK VENTURES LLC
5042 MAPLE DR
PLEASANT HILL, IA 50327-2039
Pharmacy Comments
Contract Details
Approval Date
10/4/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Germaine Gross, VP for Finance
(641) 269-4878
Contract Pharmacy Representative
NuCara Pharmacy
Jeff Mullen, Director
(515) 266-4167
Signed By Date
10/4/2023
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