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HY-VEE PHARMACY
CAH261321-00 Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center
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Covered Entity Details
Entity Name
Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261321-00
Entity Address
2799 N Washington
CHILLICOTHE, MO 64601
Medicare Provider Number
261321
Participating Start Date
9/7/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY
Pharmacy Address
1210 N WASHINGTON
CHILLICOTHE, MO 64601
Pharmacy Comments
Contract Details
Approval Date
3/14/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/29/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JANET BUCKMAN, CHIEF FINANCIAL OFFICER
(660) 214-8106
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
1/29/2013
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