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HY-VEE PHARMACY (1068)
CAH161362-00 SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161362-00
Entity Address
300 SIOUX VALLEY DRIVE
CHEROKEE, IA 51012
Medicare Provider Number
161362
Participating Start Date
9/30/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY (1068)
Pharmacy Address
1300 N 2ND ST
CHEROKEE, IA 51012
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOHN M. COMSTOCK, CEO
(712) 225-1505
Contract Pharmacy Representative
Hy-Vee Inc
James Flahive, Store Director
(712) 225-4139
Signed By Date
4/15/2013
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