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THRIFTY WHITE PHARMACY #047
CAH351333-00 Mercy Hospital of Devils Lake d/ba/ CHI St. Alexius Health Devils Lake Hospital
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Covered Entity Details
Entity Name
Mercy Hospital of Devils Lake d/ba/ CHI St. Alexius Health Devils Lake Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351333-00
Entity Address
1031 7th St NE
Devils Lake, ND 58301-2798
Medicare Provider Number
351333
Participating Start Date
9/29/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #047
Pharmacy Address
323 5TH ST NE STE 2
P.O. BOX 772
DEVILS LAKE, ND 58301
Pharmacy Comments
Contract Details
Approval Date
1/8/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew Joseph Lankowicz, President
(701) 662-9710
Contract Pharmacy Representative
Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554
Signed By Date
1/8/2020
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