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THRIFTY WHITE PHARMACY #778
CAH241329-00 LAKEWOOD HEALTH SYSTEM
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Covered Entity Details
Entity Name
LAKEWOOD HEALTH SYSTEM
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241329-00
Entity Address
49725 COUNTY 83
STAPLES, MN 56479
Medicare Provider Number
241329
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #778
Pharmacy Address
321 JEFFERSON ST N
WADENA, MN 56482-1372
Pharmacy Comments
Contract Details
Approval Date
3/30/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES DREGNEY, CHIEF FINANCIAL OFFICER
(218) 894-8399
Contract Pharmacy Representative
Thrifty White
Timothy Weippert, EVP of Pharmacy
(763) 513-4365
Signed By Date
1/15/2013
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