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MARTIN DRUG & MERCANTILE
CAH431314-00 BENNETT COUNTY HOSPITAL
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Covered Entity Details
Entity Name
BENNETT COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431314-00
Entity Address
102 MAJOR ALLEN STREET
MARTIN, SD 57551
Medicare Provider Number
431314
Participating Start Date
4/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MARTIN DRUG & MERCANTILE
Pharmacy Address
304 MAIN ST
P.O. BOX A
MARTIN, SD 57551-0050
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew Riggin, CEO
(605) 685-6622 Ext: 1140
Contract Pharmacy Representative
Martin Drug & Mercantile
Kirk Wilson, Owner
(605) 685-6200
Signed By Date
10/15/2018
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