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FORMAN DRUG
CAH351315-00 OAKES COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
OAKES COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351315-00
Entity Address
1200 NORTH 7TH STREET
OAKES, ND 58474
Medicare Provider Number
351315
Participating Start Date
9/29/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
FORMAN DRUG
Pharmacy Address
330 MAIN STREET SOUTH
PO BOX 35
FORMAN, ND 58032-0035
Pharmacy Comments
Contract Details
Approval Date
4/1/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Becki Thompson, President
(701) 742-3602
Contract Pharmacy Representative
Nathan Schlect, Pharmacist
(701) 724-6222
Signed By Date
4/1/2015
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