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CORNER DRUG INC
CAH241311-00 SIBLEY MEDICAL CENTER
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Covered Entity Details
Entity Name
SIBLEY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241311-00
Entity Address
601 WEST CHANDLER ST
ARLINGTON, MN 55307-2127
Medicare Provider Number
241311
Participating Start Date
9/28/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
CORNER DRUG INC
Pharmacy Address
CORNER DRUG HEALTH MART
204 VALLEY GREEN SQUARE
LE SUEUR, MN 56058-5605
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
DARLA ANDERSON, Director of Finance
(507) 964-8424
Contract Pharmacy Representative
Sterling Drug
Matt Sneller, Senior Consultant
(612) 360-3584
Signed By Date
1/13/2020
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