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HOFFMAN DRUG
CAH431306-00 Platte Community Memorial Hospital, Inc.
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Covered Entity Details
Entity Name
Platte Community Memorial Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431306-00
Entity Address
601 EAST 7TH STREET
Platte, SD 57369
Medicare Provider Number
431306
Participating Start Date
4/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
HOFFMAN DRUG
Pharmacy Address
408 MAIN
PLATTE, SD 57369-0110
Pharmacy Comments
Contract Details
Approval Date
4/11/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Burket, CEO
(605) 337-3364
Contract Pharmacy Representative
Hoffman Drug
Brett Maydew, Owner
(605) 337-2673
Signed By Date
4/11/2016
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