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HARTIG DRUG CO #12
CAH161371-00 Winneshiek Medical Center
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Covered Entity Details
Entity Name
Winneshiek Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161371-00
Entity Address
901 Montgomery St
Decorah, IA 52101
Medicare Provider Number
161371
Participating Start Date
7/1/2014
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HARTIG DRUG CO #12
Pharmacy Address
21 W MAIN ST
WAUKON, IA 52172-1637
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lynn Luloff, CFO
(563) 387-3109
Contract Pharmacy Representative
Hartig Drug Company
Charles S Hartig, Chief Executive Officer
(563) 588-8700 Ext: 10012
Signed By Date
4/13/2020
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