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CRESCO FAMILY PHARMACY SOUTH
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
CRESCO FAMILY PHARMACY SOUTH
Pharmacy Address
303 2nd Ave SW
Cresco, IA 52136
Pharmacy Comments
Contract Details
Approval Date
6/11/2021
Contract Begin Date
6/11/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/20/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lynn Luloff, CFO
(563) 387-3109
Contract Pharmacy Representative
Regional Health Services of Howard County
Katie Grubl, PIC
(563) 547-5111
Signed By Date
6/11/2021
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