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GRAND ST. PAUL CVS, L.L.C.
CAH241305-00 AITKIN COMMUNITY HOSPITAL D.B.A. RIVERWOOD HEALTHCARE CENTER
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Covered Entity Details
Entity Name
AITKIN COMMUNITY HOSPITAL D.B.A. RIVERWOOD HEALTHCARE CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241305-00
Entity Address
200 BUNKER HILL DRIVE
AITKIN, MN 56431
Medicare Provider Number
241305
Participating Start Date
7/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
GRAND ST. PAUL CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10397
25 SECOND STREET NE
AITKIN, MN 56431
Pharmacy Comments
Contract Details
Approval Date
4/22/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chad Cooper, CEO
(218) 927-5175
Contract Pharmacy Representative
CVS Health
Kristin Slocum, District Leader
(612) 269-6105
Signed By Date
4/22/2015
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