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WHITE DRUG #52
CAH161307-00 HANCOCK COUNTY HEALTH SYSTEM
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Covered Entity Details
Entity Name
HANCOCK COUNTY HEALTH SYSTEM
Subdivision Name
HANCOCK COUNTY HEALTH SYSTEM
Type
Critical Access Hospital
340B ID
CAH161307-00
Entity Address
532 1ST STREET NW
BRITT, IA 50423
Medicare Provider Number
161307
Participating Start Date
8/9/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WHITE DRUG #52
Pharmacy Address
706 38TH ST N STE B
FARGO, ND 58102-2953
Pharmacy Comments
Contract Details
Approval Date
1/10/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/21/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JULIE DAMM, CHIEF FINANCIAL OFFICER
(641) 843-5148
Contract Pharmacy Representative
THRIFTY WHITE
Alicia Hager, Pharmacy Operations Specialist
(763) 463-4482
Signed By Date
1/10/2015
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