340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICAP PHARMACY
CAH161355-00 KNOXVILLE COMMUNITY HOSPITAL INC.
Print
Covered Entity Details
Entity Name
KNOXVILLE COMMUNITY HOSPITAL INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161355-00
Entity Address
1002 S LINCOLN
KNOXVILLE, IA 50138
Medicare Provider Number
161355
Participating Start Date
1/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MEDICAP PHARMACY
Pharmacy Address
GRX HOLDINGS LLC
318 N LINCOLN STREET
KNOXVILLE, IA 50138
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
5/1/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/21/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session