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LEWIS DRUG DISTRIBUTION CENTER
CAH241371-00 SANFORD MEDICAL CENTER LUVERNE
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Covered Entity Details
Entity Name
SANFORD MEDICAL CENTER LUVERNE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241371-00
Entity Address
1600 N KNISS AVENUE
LUVERNE, MN 56156
Medicare Provider Number
241371
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
LEWIS DRUG DISTRIBUTION CENTER
Pharmacy Address
700 E 54TH ST N
SIOUX FALLS, SD 57104
Pharmacy Comments
Contract Details
Approval Date
1/13/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tammy Loosbrock, CEO
(712) 472-2591 Ext: 141
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
1/13/2014
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