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COBORN'S PHARMACY #27
CAH241311-00 SIBLEY MEDICAL CENTER
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Covered Entity Details
Entity Name
SIBLEY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241311-00
Entity Address
601 WEST CHANDLER ST
ARLINGTON, MN 55307-2127
Medicare Provider Number
241311
Participating Start Date
9/28/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
COBORN'S PHARMACY #27
Pharmacy Address
2211 11TH ST E
GLENCOE, MN 55336-2629
Pharmacy Comments
Contract Details
Approval Date
10/22/2012
Contract Begin Date
10/22/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/29/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Todd Sandberg, Administrator/CEO
(507) 964-8425
Contract Pharmacy Representative
Coborn's
Jim Cox, 340B Program Director
(320) 257-5505
Signed By Date
9/28/2012
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