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LEWIS DRUG DISTRIBUTION CENTER
CAH241315-00 SANFORD JACKSON MEDICAL CENTER
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Covered Entity Details
Entity Name
SANFORD JACKSON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241315-00
Entity Address
1430 NORTH HWY
JACKSON, MN 56143
Medicare Provider Number
241315
Participating Start Date
1/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
LEWIS DRUG DISTRIBUTION CENTER
Pharmacy Address
700 E 54TH ST N
SIOUX FALLS, SD 57104
Pharmacy Comments
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GAIL EIKE, DIRECTOR OF FISCAL SERVICES
(507) 847-6951
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
7/13/2015
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