340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TOWNCREST PHARMACY VAN HORNE
CAH161349-00 Virginia Gay Hospital
Print
Covered Entity Details
Entity Name
Virginia Gay Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161349-00
Entity Address
502 N 9th Ave
Vinton, IA 52349
Medicare Provider Number
161349
Participating Start Date
4/1/2012
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
TOWNCREST PHARMACY VAN HORNE
Pharmacy Address
122 MAIN ST
VAN HORNE, IA 52346
Pharmacy Comments
Contract Details
Approval Date
4/11/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele Schoonover, Director General Services
(319) 472-6379
Contract Pharmacy Representative
Bethany Hoopes, Pharmacist
(319) 228-8100
Signed By Date
4/11/2013
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