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LEWIS DRUG DISTRIBUTION CENTER
CAH241303-00 Sanford Tracy Medical Center
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Covered Entity Details
Entity Name
Sanford Tracy Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241303-00
Entity Address
251 5th Street E
Tracy, MN 56175
Medicare Provider Number
241303
Participating Start Date
7/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
LEWIS DRUG DISTRIBUTION CENTER
Pharmacy Address
700 E 54TH ST N
SIOUX FALLS, SD 57104
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stacy Barstad, Senior Director
(507) 629-8483
Contract Pharmacy Representative
Signed By Date
4/18/2017
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