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STANGEL PHARMACY INC
CAH161359-00 BURGESS HEALTH CENTER
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Covered Entity Details
Entity Name
BURGESS HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161359-00
Entity Address
1600 DIAMOND STREET
ONAWA, IA 51040
Medicare Provider Number
161359
Participating Start Date
9/2/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
STANGEL PHARMACY INC
Pharmacy Address
821 IOWA AVE
ONAWA, IA 51040
Pharmacy Comments
Contract Details
Approval Date
8/24/2012
Contract Begin Date
8/24/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Shawn Gosch, CFO
(712) 423-2311 Ext: 213
Contract Pharmacy Representative
Aaron Stangel, Owner
(712) 423-1131
Signed By Date
8/14/2012
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