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OELWEIN FAMILY PHARMACY
CAH161338-00 MercyOne Oelwein Medical Center
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Covered Entity Details
Entity Name
MercyOne Oelwein Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161338-00
Entity Address
201 8TH AVE
OELWEIN, IA 50662-2447
Medicare Provider Number
161338
Participating Start Date
9/30/2010
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
OELWEIN FAMILY PHARMACY
Pharmacy Address
DON'S PHARMACY, LTD
32 SOUTH FREDERICK
OELWEIN, IA 50662
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2020
Ownership change
Contacts
Covered Entity Signing Official
Timothy Huber, Vice President of Finance
(319) 272-7607
Contract Pharmacy Representative
Oelwein Family Pharmacy
Erica Bushaw, President
(319) 283-5254
Signed By Date
4/16/2018
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