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FOOD LAND PHARMACY
CAH161309-00 ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL d/b/a CHI Health Missouri Valley
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Covered Entity Details
Entity Name
ALEGENT HEALTH-COMMUNITY MEMORIAL HOSPITAL d/b/a CHI Health Missouri Valley
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161309-00
Entity Address
631 N. 8TH STREET
MISSOURI VALLEY, IA 51555
Medicare Provider Number
161309
Participating Start Date
9/29/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
FOOD LAND PHARMACY
Pharmacy Address
423 WALKER ST
WOODBINE, IA 51579-1240
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROBERT VALENTINE, ADMINISTRATOR
(712) 642-2784
Contract Pharmacy Representative
Dina Corbett, Owner
(712) 647-2840
Signed By Date
1/6/2017
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