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HARTIG DRUG CO #12
CAH161318-00 VETERANS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
VETERANS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161318-00
Entity Address
40 FIRST ST. S.E.
WAUKON, IA 52172
Medicare Provider Number
161318
Participating Start Date
1/1/2019
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
HARTIG DRUG CO #12
Pharmacy Address
21 W MAIN ST
WAUKON, IA 52172-1637
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Francis Coyle, CEO
(563) 568-3411 Ext: 408
Contract Pharmacy Representative
Hartig Drug Company
Charles S Hartig, VP & GC
(563) 588-8700 Ext: 10012
Signed By Date
4/11/2024
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