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AVERA LONG-TERM CARE PHARMACY
CAH431331-00 Avera McKennan DBA Avera Dells Area Hospital
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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
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
3/30/2021
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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