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FOSSTON PHARMACY AND GIFTS
CAH241328-00 Sanford Bagley Medical Center
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Covered Entity Details
Entity Name
Sanford Bagley Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241328-00
Entity Address
203 4TH ST. NW
BAGLEY, MN 56621
Medicare Provider Number
241328
Participating Start Date
1/1/2011
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
FOSSTON PHARMACY AND GIFTS
Pharmacy Address
DBA NORD'S PHARMACY AND GIFTS
115 JOHNSON AVE N
FOSSTON, MN 56542
Pharmacy Comments
Contract Details
Approval Date
10/24/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Sue Miller, Chief Financial Officer
(218) 333-5523
Contract Pharmacy Representative
FOSSTON PHARMACY AND GIFTS
Evan Fonder, Pharmacy Owner
(218) 435-6646
Signed By Date
10/24/2022
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