340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HY-VEE, INC.
CAH161381-00 SANFORD SHELDON MEDICAL CENTER
Print
Covered Entity Details
Entity Name
SANFORD SHELDON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161381-00
Entity Address
118 N. 7TH AVE
SHELDON, IA 51201-1235
Medicare Provider Number
161381
Participating Start Date
4/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC.
Pharmacy Address
HY-VEE PHARMACY 1573
1989 PARK ST.
PO BOX 408
SHELDON, IA 51201
Pharmacy Comments
Contract Details
Approval Date
7/27/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RICK NORDAHL, CHIEF EXECUTIVE OFFICER
(712) 324-6020
Contract Pharmacy Representative
Hy-Vee
Kristin Williams, Senior VP Pharmacy Operations
(515) 559-5780
Signed By Date
7/27/2016
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