340B Drug Pricing Program Database
AVERA MCKENNAN CAMPUS PHARMACY
DSH430016 AVERA MCKENNAN - information as of 6/9/2025 12:23:08 AM
Covered Entity Details
Entity Name
AVERA MCKENNAN
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH430016
Entity Address
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Medicare Provider Number
430016
Participating Start Date
9/18/2008
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
AVERA MCKENNAN CAMPUS PHARMACY
Pharmacy Address
1325 S CLIFF AVE STE CP
SIOUX FALLS, SD 57105-1008
Pharmacy Comments
5/5/11 UPDATED ADDR (WAS 800 EAST 21ST STREET, SUITE CP)
Contract Details
Approval Date
3/4/2009
Contract Begin Date
3/4/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/7/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
David Kapaska, PRESIDENT AND CEO
(605) 322-7808
Signed By Date
2/27/2009
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