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AVERA LONG-TERM CARE PHARMACY
CAH431310-00 Avera McKennan DBA Avera Flandreau Hospital
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Covered Entity Details
Entity Name
Avera McKennan DBA Avera Flandreau Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431310-00
Entity Address
214 NORTH PRAIRIE STREET
FLANDREAU, SD 57028
Medicare Provider Number
431310
Participating Start Date
1/1/2011
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
AVERA LONG-TERM CARE PHARMACY
Pharmacy Address
AVERA MCKENNAN
4101 W MEMORY CIR STE 120
SIOUX FALLS, SD 57107
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/17/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
LINDSAY FLANNERY, ADMINISTRATOR
(605) 997-2433
Contract Pharmacy Representative
Mark Gerdes, Pharmacy Manager
(605) 322-1447
Signed By Date
10/14/2015
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