340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NUCARA PHARMACY #20
CAH161316-00 Palmer Lutheran Health Center
Print
Covered Entity Details
Entity Name
Palmer Lutheran Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161316-00
Entity Address
112 Jefferson Street
West Union, IA 52175
Medicare Provider Number
161316
Participating Start Date
4/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
NUCARA PHARMACY #20
Pharmacy Address
NUDAK VENTURES, LLC
119 N VINE ST
WEST UNION, IA 52175-1346
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joni Gisleson, CFO
(563) 422-3811 Ext: 1702
Contract Pharmacy Representative
Caitlin Reinking, Pharmacy Manager
(563) 422-3151
Signed By Date
10/11/2013
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