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PRAIRIE PHARMACY
CAH431305-00 DOUGLAS COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
DOUGLAS COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431305-00
Entity Address
708 8TH ST
ARMOUR, SD 57313
Medicare Provider Number
431305
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
PRAIRIE PHARMACY
Pharmacy Address
1311 BRADDOCK AVE
ARMOUR, SD 57313-2136
Pharmacy Comments
Contract Details
Approval Date
7/1/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
HEATH BROUWER, CEO
(605) 724-2159
Contract Pharmacy Representative
Douglas County Memorial Hospital
Ramsey Dehaan, Chief Pharmacist
(605) 724-2970
Signed By Date
7/1/2019
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