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Hy-Vee Pharmacy Fulfillment Center #4016
CAH161342-00 Monroe County Hospital
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Covered Entity Details
Entity Name
Monroe County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161342-00
Entity Address
6580 165th Street
Albia, IA 52531
Medicare Provider Number
161342
Participating Start Date
1/1/2013
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
Hy-Vee Pharmacy Fulfillment Center #4016
Pharmacy Address
Hy-Vee Inc
4707 Fleur Dr
Des Moines, IA 50321
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jenny Klyn, Chief Ancillary Officer
(641) 932-1720
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
4/14/2025
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