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LEWIS FAMILY DRUG #56
CAH241302-00 Sanford Health Westbrook Medical Center
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Covered Entity Details
Entity Name
Sanford Health Westbrook Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241302-00
Entity Address
920 Bell Ave
Westbrook, MN 56183
Medicare Provider Number
241302
Participating Start Date
7/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #56
Pharmacy Address
LEWIS FAMILY DRUG, LLC
599 2ND AVE N
WINDOM, MN 56101-1927
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Thomas Cleveland, Director of Finance
(605) 312-9351
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
4/15/2021
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