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HY-VEE FOOD STORES
CAH161351-00 Avera Holy Family Health
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Covered Entity Details
Entity Name
Avera Holy Family Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161351-00
Entity Address
826 N 8TH ST
ESTHERVILLE, IA 51334
Medicare Provider Number
161351
Participating Start Date
9/30/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
HY-VEE FOOD STORES
Pharmacy Address
HY-VEE PHARMACY
1221 CENTRAL AVENUE
ESTHERVILLE, IA 51334
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
9/12/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHAEL HALL, CEO
(712) 362-2631 Ext: 6160
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
8/4/2011
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