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LANGDON DRUG INC
CAH351323-00 Cavalier County Memorial Hospital
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Covered Entity Details
Entity Name
Cavalier County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351323-00
Entity Address
909 2nd Street
Langdon, ND 58249
Medicare Provider Number
351323
Participating Start Date
7/1/2012
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
LANGDON DRUG INC
Pharmacy Address
805 3RD ST
LANGDON, ND 58249
Pharmacy Comments
11/01/2012 address update (was 706 3rd St)
Contract Details
Approval Date
7/11/2012
Contract Begin Date
7/11/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lawrence Blue, CEO
(701) 256-6100 Ext: 180
Contract Pharmacy Representative
Lyle Lutman, President
(701) 256-3330
Signed By Date
7/5/2012
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