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COBORN'S PHARMACY
CAH241370-00 ST. GABRIEL'S HOSPITAL
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Covered Entity Details
Entity Name
ST. GABRIEL'S HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241370-00
Entity Address
815 SE 2nd Street.
LITTLE FALLS, MN 56345
Medicare Provider Number
241370
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
COBORN'S PHARMACY
Pharmacy Address
COBORN'S PHARMACY #2006
1105 2ND AVE NE
LITTLE FALLS, MN 56345-2943
Pharmacy Comments
Contract Details
Approval Date
3/2/2012
Contract Begin Date
3/2/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHAD COOPER, CEO
(320) 631-5600
Contract Pharmacy Representative
THEODORE BEATTY, DIRECTOR OF PHARMACY OPERATIONS
(320) 251-5505
Signed By Date
2/23/2012
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