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LEWIS FAMILY DRUG #60
CAH431333-00 SANFORD CANTON-INWOOD MEDICAL CENTER
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Covered Entity Details
Entity Name
SANFORD CANTON-INWOOD MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431333-00
Entity Address
440 NORTH HIAWATHA DRIVE
CANTON, SD 57013
Medicare Provider Number
431333
Participating Start Date
4/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #60
Pharmacy Address
LEWIS FAMILY DRUG, LLC
715 E 5TH ST
PO BOX 291
CANTON, SD 57013-1829
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAUL GERHART, Director of Fiscal Services
(605) 764-1492
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
1/15/2015
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