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HAISCH FAMILY PHARMACY
CAH431333-00 SANFORD CANTON-INWOOD MEDICAL CENTER
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Covered Entity Details
Entity Name
SANFORD CANTON-INWOOD MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431333-00
Entity Address
440 NORTH HIAWATHA DRIVE
CANTON, SD 57013
Medicare Provider Number
431333
Participating Start Date
4/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HAISCH FAMILY PHARMACY
Pharmacy Address
303 E 5TH ST
CANTON, SD 57013-1735
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stan Knobloch, Director of Finance
(712) 472-6143
Contract Pharmacy Representative
Anderson Pharmacy Inc.
Arnie Anderson, Owner
(605) 987-2661
Signed By Date
1/14/2019
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