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HY-VEE PHARMACY FULFILLMENT CENTER 4016
CAH161365-00 GREATER REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
GREATER REGIONAL MEDICAL CENTER
Subdivision Name
DBA GREATER REGIONAL MEDICAL CENTER
Type
Critical Access Hospital
340B ID
CAH161365-00
Entity Address
1700 WEST TOWNLINE ST
CRESTON, IA 50801
Medicare Provider Number
161365
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY FULFILLMENT CENTER 4016
Pharmacy Address
HY-VEE INC
4707 FLUER DR
DES MOINES, IA 50321
Pharmacy Comments
11-22-2013 Address correction
Contract Details
Approval Date
10/28/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MONTE NEITZEL, CEO
(641) 782-7091
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
10/11/2013
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