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HY-VEE PHARMACY
CHC10590-04 MIDTOWN HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MIDTOWN HEALTH CENTER, INC.
Subdivision Name
Midtown Health Center, Inc. West Point
Type
HRSA-Funded Health Center
340B ID
CHC10590-04
Entity Address
303 Plaza Dr
West Point, NE 68788-1554
Grant Number
H80CS10590
Participating Start Date
1/1/2021
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY
Pharmacy Address
120 EAST NORFOLK AVENUE
NORFOLK, NE 68701
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHY NORDBY, Cheif Executive Officer
(402) 370-1060
Contract Pharmacy Representative
Hy-Vee, Inc
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
10/16/2023
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