340B Drug Pricing Program Database
WARREN PHARMACY INC.
CAH241337-00 NORTH VALLEY HEALTH CENTER - information as of 4/29/2025 2:08:25 AM
Covered Entity Details
Entity Name
NORTH VALLEY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241337-00
Entity Address
300 WEST GOOD SAMARITAN DRIVE
WARREN, MN 56762
Medicare Provider Number
241337
Participating Start Date
4/1/2017
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WARREN PHARMACY INC.
Pharmacy Address
WARREN PHARMACY INC.
103 W. JOHNSON AVE
WARREN, MN 56762
Pharmacy Comments
Contract Details
Approval Date
1/23/2023
Contract Begin Date
1/24/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jon Linnell, CEO
(218) 745-3262
Contract Pharmacy Representative
Warren Pharmacy
Shelby Knott, Pharmacist
(218) 289-5859
Signed By Date
1/23/2023
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