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VILAS
CAH431302-00 Avera Gettysburg dba Avera Missouri River Health Center
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Covered Entity Details
Entity Name
Avera Gettysburg dba Avera Missouri River Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431302-00
Entity Address
606 EAST GARFIELD
GETTYSBURG, SD 57442-1325
Medicare Provider Number
431302
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
VILAS
Pharmacy Address
DAKOTA PHARMS, LLC
103 E COMMERCIAL AVE
GETTYSBURG, SD 57442
Pharmacy Comments
Contract Details
Approval Date
1/12/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Petersen, Vice President of Pharmacy
(605) 322-8313
Contract Pharmacy Representative
Custer Community Pharmacy
Dillon Kjerstad, Co-owner
(605) 859-2833
Signed By Date
1/12/2021
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