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HY-VEE PHARMACY FULFILLMENT CENTER 4016
CAH161342-00 Monroe County Hospital
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Covered Entity Details
Entity Name
Monroe County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161342-00
Entity Address
6580 165th Street
Albia, IA 52531
Medicare Provider Number
161342
Participating Start Date
1/1/2013
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY FULFILLMENT CENTER 4016
Pharmacy Address
HY-VEE INC
4707 FLUER DR
DES MOINES, IA 50321
Pharmacy Comments
11-22-2013 Address correction
Contract Details
Approval Date
11/27/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Duplicate contract pharmacy record
Contacts
Covered Entity Signing Official
Heather L. Cain, Chief Financial Officer
(641) 932-1750
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
11/27/2013
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