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LEWIS DRUG #5
CAH431300-00 MADISON COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
MADISON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431300-00
Entity Address
323 SW 10th St.
MADISON, SD 57042-3200
Medicare Provider Number
431300
Participating Start Date
1/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
LEWIS DRUG #5
Pharmacy Address
741 S WASHINGTON AVE
MADISON, SD 57042-3409
Pharmacy Comments
Contract Details
Approval Date
7/12/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Teresa Rae Mallett, CEO
(605) 256-8605
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
7/12/2017
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