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THE BOWMAN DRUG COMPANY
CAH351330-00 West River Health Services
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Covered Entity Details
Entity Name
West River Health Services
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351330-00
Entity Address
1000 highway 12
Hettinger, ND 58639
Medicare Provider Number
351330
Participating Start Date
10/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
THE BOWMAN DRUG COMPANY
Pharmacy Address
THE BOWMAN DRUG COMPANY, INC
12 N MAIN ST
P.O. BOX 197
BOWMAN, ND 58623-4022
Pharmacy Comments
Contract Details
Approval Date
1/10/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Matt Shahan, CEO
(701) 567-6184
Contract Pharmacy Representative
Nudak Ventures LLC
Lori Willis, Acquisitions Manager
(641) 366-3440 Ext: 127
Signed By Date
1/10/2022
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