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SAV-RX PHARMACY
FQHC638537A Prairie Island Indian Community
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Covered Entity Details
Entity Name
Prairie Island Indian Community
Subdivision Name
Prairie Island Health Center
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638537A
Entity Address
5636 Sturgeon Lake Rd
Welch, MN 55089
Grant Number
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SAV-RX PHARMACY
Pharmacy Address
A & A DRUG CO
1855 N AIRPORT RD
FREMONT, NE 68025
Pharmacy Comments
Contract Details
Approval Date
1/4/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tom Gnotke, Finance Director
(651) 385-4111
Contract Pharmacy Representative
Sav-Rx
William George Arnold, Pharmacist in Charge
(678) 488-7524
Signed By Date
1/4/2018
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