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NUCARA PHARMACY #29
CAH161333-00 STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161333-00
Entity Address
640 SOUTH 19TH STREET
NEVADA, IA 50201
Medicare Provider Number
161333
Participating Start Date
9/29/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
NUCARA PHARMACY #29
Pharmacy Address
NUDAK VENTURES, LLC
110 W MAIN ST
PO BOX 234
ZEARING, IA 50278
Pharmacy Comments
Contract Details
Approval Date
10/15/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Timothy Ahlers, CEO
(515) 382-7700
Contract Pharmacy Representative
Donna Roberts, PIC
(641) 847-2585
Signed By Date
10/15/2014
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