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NIGHTINGALE DRUG
CAH161306-00 ST. LUKE'S JONES REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. LUKE'S JONES REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161306-00
Entity Address
1795 HIGHWAY 64 EAST
ANAMOSA, IA 52205
Medicare Provider Number
161306
Participating Start Date
1/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
NIGHTINGALE DRUG
Pharmacy Address
PRESCRIPTION SHOPPE, INC
303 W MAIN ST
ANAMOSA, IA 52205-1190
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ERIC BRIESEMEISTER, CEO
(319) 481-6301
Contract Pharmacy Representative
Pharmacy Care Centre
Linda Nightingale, Owner
(563) 581-2508
Signed By Date
4/12/2018
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