340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SMART PHARMACY
CAH161323-00 Mitchell County Regional Health Center
Print
Covered Entity Details
Entity Name
Mitchell County Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161323-00
Entity Address
616 N. 8TH STREET
OSAGE, IA 50461
Medicare Provider Number
161323
Participating Start Date
1/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SMART PHARMACY
Pharmacy Address
616 N 8TH ST
OSAGE, IA 50461-1456
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory J. Burkel, EXECUTIVE FINANCE OFFICER
(641) 732-6070
Contract Pharmacy Representative
SMART PHARMACY
Tim Gallagher, President
(507) 434-7428
Signed By Date
4/15/2014
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