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HUGOS FAMILY PHARMACY
CAH241381-00 SANFORD THIEF RIVER FALLS
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Covered Entity Details
Entity Name
SANFORD THIEF RIVER FALLS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241381-00
Entity Address
3001 SANFORD PARKWAY
THIEF RIVER FALLS, MN 56701-2819
Medicare Provider Number
241381
Participating Start Date
4/1/2011
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
HUGOS FAMILY PHARMACY
Pharmacy Address
215 PENNINGTON AVENUE
THIEF RIVER FALLS, MN 56701-2900
Pharmacy Comments
Contract Details
Approval Date
1/19/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Todd Christensen, Director of Fiscal Services
(218) 683-4497
Contract Pharmacy Representative
Hugo's Family Pharmacy
SEAN KARPOWICH, DIRECTOR OF PHARMACY
(218) 773-0611
Signed By Date
1/19/2017
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