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WOODLAWN PHARMACY
CAH161350-00 Stewart Memorial Community Hospital
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Covered Entity Details
Entity Name
Stewart Memorial Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161350-00
Entity Address
1301 West Main Street
Lake City, IA 51449-1585
Medicare Provider Number
161350
Participating Start Date
10/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WOODLAWN PHARMACY
Pharmacy Address
WOODLAWN PHARMACY
101 N. WOODLAWN AVE
LAKE CITY, IA 51449-5144
Pharmacy Comments
Contract Details
Approval Date
3/15/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES L. HENKENIUS, CFO
(712) 464-3171 Ext: 4200
Contract Pharmacy Representative
Julie Kraft, Owner
(712) 464-8811
Signed By Date
1/15/2013
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