340B Drug Pricing Program Database

Pharmacy Name

HY-VEE PHARMACY (1071)

Pharmacy Address

1200 S 16TH ST
CLARINDA, IA 51632

Pharmacy Comments

Approval Date

2/22/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Melissa Walter, CFO
(712) 542-8284

Contract Pharmacy Representative

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

Signed By Date

1/14/2013