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THRIFTY WHITE PHARMACY #794
CAH241365-00 CENTRACARE HEALTH - BENSON, LLC
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Covered Entity Details
Entity Name
CENTRACARE HEALTH - BENSON, LLC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241365-00
Entity Address
1815 Wisconsin Avenue
Benson, MN 56215
Medicare Provider Number
241365
Participating Start Date
7/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #794
Pharmacy Address
1805 MINNESOTA AVE STE 2
BENSON, MN 56215-1779
Pharmacy Comments
Contract Details
Approval Date
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dan Enderson, CFO
(320) 843-4232
Contract Pharmacy Representative
Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554
Signed By Date
10/12/2021
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