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SCOTT PHARMACY
CAH161320-00 Sumner Community Club dba Community Memorial Hospital
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Covered Entity Details
Entity Name
Sumner Community Club dba Community Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161320-00
Entity Address
909 West First Street
Sumner, IA 50674
Medicare Provider Number
161320
Participating Start Date
7/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SCOTT PHARMACY
Pharmacy Address
238 S MAIN ST
PO BOX 188
FAYETTE, IA 52142
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dustin Wright, CEO
(563) 578-2119
Contract Pharmacy Representative
Scott Pharmacy
David J Scott, PharmD, MBA
(563) 425-4530
Signed By Date
4/14/2017
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