340B Drug Pricing Program Database

Pharmacy Name

HY-VEE PHARMACY (1850)

Pharmacy Address

528 S. HWY #1
WASHINGTON, IA 52353

Pharmacy Comments

Approval Date

3/13/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dennis Hunger, Chief Executive Officer
(319) 863-3900

Contract Pharmacy Representative

Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800

Signed By Date

1/28/2013