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HY-VEE, INC
CAH161358-00 Wayne County Hospital
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Covered Entity Details
Entity Name
Wayne County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161358-00
Entity Address
417 S East Street
Corydon, IA 50060
Medicare Provider Number
161358
Participating Start Date
4/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC
Pharmacy Address
DBA: HY-VEE PHARMACY (1089)
105 E JACKSON
CORYDON, IA 50060
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/4/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Denise Hook, CFO
(641) 872-5277
Contract Pharmacy Representative
Hy-vee Inc.
Marshall Sanders, 340B Program Manager
(515) 267-6009
Signed By Date
7/15/2016
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