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COBORN'S PHARMACY 317
CAH241367-00 Welia Health
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Covered Entity Details
Entity Name
Welia Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241367-00
Entity Address
301 Hwy 65 S
Mora, MN 55051
Medicare Provider Number
241367
Participating Start Date
10/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
COBORN'S PHARMACY 317
Pharmacy Address
COBORNS PHARMACY # 2017
710 FRANKIE LN
MORA, MN 55051-1914
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randy Ulseth, CEO
(320) 225-3315
Contract Pharmacy Representative
Coborns Inc.
Lynn Young, Director of Pharmacy Operations
(320) 534-2743
Signed By Date
4/15/2013
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