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EAGLE PHARMACY
CAH161302-00 IOWA SPECIALTY HOSPITAL - CLARION
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Covered Entity Details
Entity Name
IOWA SPECIALTY HOSPITAL - CLARION
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161302-00
Entity Address
1316 S Main St
CLARION, IA 50525
Medicare Provider Number
161302
Participating Start Date
9/14/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
EAGLE PHARMACY
Pharmacy Address
311 W BROADWAY ST
BOX 331
EAGLE GROVE, IA 50533-1711
Pharmacy Comments
Contract Details
Approval Date
7/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREG POLZIN, CFO
(641) 444-5623
Contract Pharmacy Representative
Eagle Pharmacy
Andrew Wagner, Pharmacist In Charge
(515) 448-3814
Signed By Date
7/12/2024
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