340B Drug Pricing Program Database
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CAH241329-00 LAKEWOOD HEALTH SYSTEM (Active)
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Main Details
Name
LAKEWOOD HEALTH SYSTEM
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241329-00
Medicare Provider Number
241329
Additional Details
Current Program Status
Active
Registration Date
9/15/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/15/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Lakewood Health System
Joseph Thomas Reycraft, CFO
(218) 894-8194
Primary Contact
Lakewood Health System
Mark Carlson, Director of 340B Pharmacy
(218) 296-2351
Addresses
Street Address
49725 COUNTY 83
STAPLES, MN 56479
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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