340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARTIG DRUG COMPANY
CAH161312-00 GUTTENBERG MUNICIPAL HOSPITAL
Print
Covered Entity Details
Entity Name
GUTTENBERG MUNICIPAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161312-00
Entity Address
200 Main Street
GUTTENBERG, IA 52052
Medicare Provider Number
161312
Participating Start Date
1/1/2019
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
HARTIG DRUG COMPANY
Pharmacy Address
STONE CREEK SHOPPING CENTER
711 16TH AVE SE
DYERSVILLE, IA 52040
Pharmacy Comments
Contract Details
Approval Date
1/9/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kimberley A. Gau, CEO
(563) 252-1121 Ext: 2330
Contract Pharmacy Representative
Keith Bibelhausen, President
(563) 588-8700 Ext: 10030
Signed By Date
1/9/2017
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