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OSKY PHARMACY LLC
CAH161379-00 Mahaska County Hospital d/b/a Mahaska Health Partnership
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Covered Entity Details
Entity Name
Mahaska County Hospital d/b/a Mahaska Health Partnership
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161379-00
Entity Address
1229 C Avenue East
Oskaloosa, IA 52577
Medicare Provider Number
161379
Participating Start Date
7/1/2012
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
OSKY PHARMACY LLC
Pharmacy Address
OSKY PHARMACY
504 A AVE W
OSKALOOSA, IA 52577-2708
Pharmacy Comments
Contract Details
Approval Date
10/12/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Erin Baldwin, Chief Operating Officer
(641) 672-3361
Contract Pharmacy Representative
Rajan Devan, PIC/Owner
(641) 673-8486
Signed By Date
10/12/2015
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