340B Drug Pricing Program Database
ESI MAIL PHARMACY SERVICE
SCH520037-00 MARSHFIELD MEDICAL CENTER - information as of 5/7/2025 11:09:34 PM
Covered Entity Details
Entity Name
MARSHFIELD MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH520037-00
Entity Address
611 ST JOSEPH AVENUE
MARSHFIELD, WI 54449
Medicare Provider Number
520037
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
ESI MAIL PHARMACY SERVICE
Pharmacy Address
DBA EXPRESS SCRIPTS
7909 S HARDY DR STE 106
TEMPE, AZ 85284-1112
Pharmacy Comments
Contract Details
Approval Date
4/17/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Chaloner, President
(715) 387-7855
Contract Pharmacy Representative
Accredo
Tanielle Randall, 340B Sales Director
(407) 697-5917
Signed By Date
4/15/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session