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CRESCO FAMILY PHARMACY
CAH161328-00 REGIONAL HEALTH SERVICES OF HOWARD COUNTY
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Covered Entity Details
Entity Name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161328-00
Entity Address
235 8TH AVENUE WEST
CRESCO, IA 52136
Medicare Provider Number
161328
Participating Start Date
9/13/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CRESCO FAMILY PHARMACY
Pharmacy Address
REGIONAL HEALTH SERVICES OF HOWARD COUNT
235 8TH AVE W
CRESCO, IA 52136
Pharmacy Comments
Contract Details
Approval Date
1/2/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/13/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
BRENDA MOSER, VP OF FINANCE
(563) 547-6358
Contract Pharmacy Representative
Amy Farlinger, Pharmacist
(563) 547-6623
Signed By Date
1/2/2015
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