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WALMART PHARMACY 10-5169
CAH241368-00 CentraCare Health - Sauk Centre
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Covered Entity Details
Entity Name
CentraCare Health - Sauk Centre
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241368-00
Entity Address
425 Elm Street North
Sauk Centre, MN 56378
Medicare Provider Number
241368
Participating Start Date
1/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
7/19/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryan Bauck, Hospital Administrator
(320) 256-1761
Contract Pharmacy Representative
CentraCare Health- Sauk Centre
Dennis Heinen, Director of Pharmacy
(320) 351-1713
Signed By Date
7/19/2023
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