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SNYDER DRUG
CAH241306-01 Renville County Hospital & Clinics
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Covered Entity Details
Entity Name
Renville County Hospital & Clinics
Subdivision Name
Renville County Hospital & Clinics - Olivia Clinic
Type
Critical Access Hospital
340B ID
CAH241306-01
Entity Address
100 Healthy Way
Olivia, MN 56277-1117
Medicare Provider Number
241306
Outpatient Facility Provider Number
243442
Participating Start Date
10/1/2012
Last Recertification Date
9/1/2016
Entity Termination Date
1/1/2017
Pharmacy Details
Pharmacy Name
SNYDER DRUG
Pharmacy Address
801 E DEPUE
OLIVIA, MN 56277
Pharmacy Comments
Contract Details
Approval Date
10/16/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Contacts
Covered Entity Signing Official
Nathan Blad, President
(320) 523-3575
Contract Pharmacy Representative
Scott Nelson, Owner
(507) 637-2911
Signed By Date
10/16/2013
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