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SAMUELSON'S DRUG STORE
CAH241363-00 STEVENS COMMUNITY MEDICAL CENTER
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Covered Entity Details
Entity Name
STEVENS COMMUNITY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241363-00
Entity Address
400 EAST 1ST ST
MORRIS, MN 56267
Medicare Provider Number
241363
Participating Start Date
9/28/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SAMUELSON'S DRUG STORE
Pharmacy Address
118 W 5TH ST
STARBUCK, MN 56381-2426
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KERRIE MCEVILLY, V.P. OF FINANCE
(320) 589-7627
Contract Pharmacy Representative
Samuelson's Drug
Donald Samuelson, Pharmacist & Owner
(320) 239-2246
Signed By Date
1/12/2018
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