340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LEWIS FAMILY DRUG #53
CAH431331-00 Avera McKennan DBA Avera Dells Area Hospital
Print
Covered Entity Details
Entity Name
Avera McKennan DBA Avera Dells Area Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431331-00
Entity Address
909 North Iowa Avenue
Dell Rapids, SD 57022-1231
Medicare Provider Number
431331
Participating Start Date
1/1/2011
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #53
Pharmacy Address
LEWIS FAMILY DRUG, LLC
1002 N HIGHWAY 77
DELL RAPIDS, SD 57022
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
8/9/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVE KAPASKA, REGIONAL PRESIDENT/CEO
(605) 322-7808
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
7/25/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session