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DBA NUCARA PHARMACY #12
CAH161338-00 MercyOne Oelwein Medical Center
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Covered Entity Details
Entity Name
MercyOne Oelwein Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161338-00
Entity Address
201 8TH AVE
OELWEIN, IA 50662-2447
Medicare Provider Number
161338
Participating Start Date
9/30/2010
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
DBA NUCARA PHARMACY #12
Pharmacy Address
NUDAK VENTURES LLC
500 2ND ST
TRAER, IA 50675-1139
Pharmacy Comments
Contract Details
Approval Date
7/23/2012
Contract Begin Date
7/23/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michele Panicucci, CFO / Senior Vice President
(319) 272-7359
Contract Pharmacy Representative
Phyllis McKee, Pharmacist In Charge
(319) 478-8711
Signed By Date
6/22/2012
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