340B Drug Pricing Program Database
AVERA SPECIALTY PHARMACY
CAH281329-00 AVERA ST. ANTHONY'S HOSPITAL - information as of 4/30/2025 12:10:32 AM
Covered Entity Details
Entity Name
AVERA ST. ANTHONY'S HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281329-00
Entity Address
300 NORTH 2ND ST
O'NEILL, NE 68763
Medicare Provider Number
281329
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
AVERA SPECIALTY PHARMACY
Pharmacy Address
500 E 56TH ST N STE 3150
SIOUX FALLS, SD 57104
Pharmacy Comments
5/4/11 UPDATED NAME AND ADDR (WAS AVERA DOCTORS PLAZA 2 PHARMACY, 1100 EAST 21ST STREET, SUITE 200)
Contract Details
Approval Date
4/7/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Petersen, Vice President of Pharmacy
(605) 322-8313
Contract Pharmacy Representative
Avera Specialty Pharmacy
Brian Lounsbery, Pharmacy Manager
(605) 322-8360
Signed By Date
4/7/2020
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