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HY-VEE PHARMACY SOLUTIONS
DSH160058 UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
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Covered Entity Details
Entity Name
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH160058
Entity Address
200 HAWKINS DRIVE
IOWA CITY, IA 52242
Medicare Provider Number
160058
Participating Start Date
10/1/1999
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY SOLUTIONS
Pharmacy Address
HYVACS LLC
215 10TH ST STE 110
DES MOINES, IA 50309-3608
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Saradeep Singh, COO
(319) 353-7202
Contract Pharmacy Representative
Hy-Vee Pharmacy Solutions, Des Moines
Abby Cate, Pharmacy Manager
(877) 794-9833 Ext: 1060
Signed By Date
4/16/2018
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