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SHOPKO PHARMACY #2668
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
SHOPKO PHARMACY #2668
Pharmacy Address
660 W MILWAUKEE ST
NEW HAMPTON, IA 50659
Pharmacy Comments
Contract Details
Approval Date
4/25/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
BRENDA MOSER, VP OF FINANCE
(563) 547-6358
Contract Pharmacy Representative
ShopKo
Lorie Neumann, Contracting & Compliance
(920) 429-4726
Signed By Date
4/25/2016
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