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THRIFTY WHITE PHARMACY #76
CAH161371-00 Winneshiek Medical Center
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Covered Entity Details
Entity Name
Winneshiek Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161371-00
Entity Address
901 Montgomery St
Decorah, IA 52101
Medicare Provider Number
161371
Participating Start Date
7/1/2014
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #76
Pharmacy Address
702 MONTGOMERY ST
DECORAH, IA 52101-2317
Pharmacy Comments
Contract Details
Approval Date
1/12/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynn Luloff, CFO
(563) 387-3109
Contract Pharmacy Representative
Thrifty Drug Stores, Inc.
Anne Brader, CFO
(763) 513-4331
Signed By Date
1/12/2015
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