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THRIFTY WHITE PHARMACY #781
CAH241377-00 ST. FRANCIS MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. FRANCIS MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241377-00
Entity Address
2400 ST. FRANCIS DR
BRECKENRIDGE, MN 56520
Medicare Provider Number
241377
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #781
Pharmacy Address
50 MINNESOTA AVE
BRECKENRIDGE, MN 56520
Pharmacy Comments
Contract Details
Approval Date
1/9/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVID NELSON, CEO
(218) 643-0400
Contract Pharmacy Representative
Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554
Signed By Date
1/9/2020
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