340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DOUGLAS COUNTY MEMORIAL HOSP
CAH431305-00 DOUGLAS COUNTY MEMORIAL HOSPITAL
Print
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
DOUGLAS COUNTY MEMORIAL HOSP
Pharmacy Address
DBA PRAIRIE PHARMACY CORSICA
265 E MAIN ST
CORSICA, SD 57328-2284
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
Kristen K Bittner, Pharmacist-in-Charge
(605) 724-2970
Signed By Date
7/1/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session