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HILLSBORO REXALL DRUG INC
CAH351329-00 Sanford Hillsboro
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Covered Entity Details
Entity Name
Sanford Hillsboro
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351329-00
Entity Address
12 3RD STREET SE
HILLSBORO, ND 58045
Medicare Provider Number
351329
Participating Start Date
7/1/2011
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
HILLSBORO REXALL DRUG INC
Pharmacy Address
13 N MAIN ST
P.O. BOX 820
HILLSBORO, ND 58045-4202
Pharmacy Comments
Contract Details
Approval Date
1/10/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jac McTaggart, Senior Director
(701) 636-3201
Contract Pharmacy Representative
Hillsboro Rexall Drug, Inc
Randy Habeck, President
(701) 636-5231
Signed By Date
1/10/2018
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