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THRIFTY WHITE PHARMACY #775
CAH241302-00 Sanford Health Westbrook Medical Center
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Covered Entity Details
Entity Name
Sanford Health Westbrook Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241302-00
Entity Address
920 Bell Ave
Westbrook, MN 56183
Medicare Provider Number
241302
Participating Start Date
7/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #775
Pharmacy Address
601 1ST AVE
P.O. 37
WESTBROOK, MN 56183
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stacy Barstad, Senior Director
(507) 629-8483
Contract Pharmacy Representative
Tim Weippert, COO
(763) 513-5365
Signed By Date
4/15/2016
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