Pharmacy Details

FAIRVIEW LAKES PHARMACY WYOMING - information as of 4/29/2025 4:37:29 AM

Name
FAIRVIEW LAKES PHARMACY WYOMING

Address

5200 FAIRVIEW BOULEVARD
WYOMING, MN 55092

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH240080	UNIVERSITY OF MINNESOTA MEDICAL CENTER		Disproportionate Share Hospital	500 HARVARD ST. SE		MINNEAPOLIS	MN	04/01/2013		3/30/2024 9:36 AM
Details	DSH240080AF	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Solid Organ Transplant	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor North	Minneapolis	MN	01/01/2017		8/22/2019 2:57 PM
Details	DSH240080AJ	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Cardiology Clinics	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor East	Minneapolis	MN	01/01/2017		8/30/2019 3:00 PM
Details	DSH240080AK	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Derm Rheumatology Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor East	Minneapolis	MN	01/01/2017	04/01/2018	4/1/2018 12:00 AM
Details	DSH240080AL	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Blood and Marrow Transplant Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 2nd Floor North	Minneapolis	MN	01/01/2017		8/30/2019 3:04 PM
Details	DSH240080AN	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Bleeding and Clotting Disorders	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor West	Minneapolis	MN	01/01/2017		8/30/2019 3:02 PM
Details	DSH240080AP	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Infectious Disease Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor West	Minneapolis	MN	01/01/2017		8/30/2019 3:01 PM
Details	DSH240080AR	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Eye Clinics	Disproportionate Share Hospital	516 Delaware St. SE	PWB Clinic 9A	Minneapolis	MN	01/01/2017		8/30/2019 3:47 PM
Details	DSH240080AS	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric ENT Clinics	Disproportionate Share Hospital	701 25th Ave S	Suite 200	Minneapolis	MN	01/01/2017		8/30/2019 3:57 PM
Details	DSH240080AT	UNIVERSITY OF MINNESOTA MEDICAL CENTER	University Specialists in Women's Health	Disproportionate Share Hospital	606 24th Ave S	Suite 300	Minneapolis	MN	01/01/2017		8/30/2019 3:51 PM
Details	DSH240080AU	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric Eye Clinics	Disproportionate Share Hospital	701 25th Ave S	Suite 300	Minneapolis	MN	01/01/2017		8/30/2019 3:26 PM
Details	DSH240080AX	UNIVERSITY OF MINNESOTA MEDICAL CENTER	UMMC Southdale Cancer Clinic and Infusion	Disproportionate Share Hospital	6363 France Ave So	Suite 610	Edina	MN	01/01/2017		8/30/2019 3:34 PM
Details	DSH240080AY	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Autism Clinic	Disproportionate Share Hospital	2512 S 7th St		Minneapolis	MN	01/01/2017	10/01/2021	10/1/2021 12:01 AM
Details	DSH240080AZ	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Aphaeresis Blood Donation	Disproportionate Share Hospital	2450 Riverside Ave		Minneapolis	MN	01/01/2017	04/01/2018	4/1/2018 12:00 AM
Details	DSH240080BA	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric Emergency Room	Disproportionate Share Hospital	2450 Riverside Ave		Minneapolis	MN	01/01/2017		8/30/2019 3:38 PM
Details	DSH240080BB	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Emergency Room	Disproportionate Share Hospital	2450 Riverside Ave		Minneapolis	MN	01/01/2017		9/11/2019 10:02 AM
Details	DSH240080BC	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Electroconvulsive Therapy	Disproportionate Share Hospital	525 23rd Ave. South		Minneapolis	MN	01/01/2017		8/30/2019 3:17 PM
Details	DSH240080BD	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Psychiatric Emergency Room	Disproportionate Share Hospital	2312 S. 6th Street		Minneapolis	MN	01/01/2017	04/01/2018	4/1/2018 12:00 AM
Details	DSH240080BE	UNIVERSITY OF MINNESOTA MEDICAL CENTER	UMMC Ridges Cancer Clinic and Infusion	Disproportionate Share Hospital	14101 Fairview Drive Suite 200		Burnsville	MN	01/01/2017		8/30/2019 3:57 PM
Details	DSH240080BF	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Advanced Treatment Center - Apheresis	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, Apheresis, 2nd Floor South	Minneapolis	MN	01/01/2017		8/30/2019 3:51 PM
Details	DSH240080BG	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Center for Lung Science	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 4th Floor North	Minneapolis	MN	01/01/2017		8/30/2019 3:24 PM
Details	DSH240080BH	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Hepatology Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, North, 3rd Floor North	Minneapolis	MN	01/01/2017		8/30/2019 3:19 PM
Details	DSH240080BJ	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Nephrology Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor North	Minneapolis	MN	01/01/2017		8/30/2019 3:42 PM
Details	DSH240080BK	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Rheumatology Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 3rd Floor East	Minneapolis	MN	01/01/2017		8/30/2019 3:48 PM
Details	DSH240080BL	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Multiple Sclerosis & Neuro Specialty Clinic	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, Neurosciences 3rd Floor South	Minneapolis	MN	01/01/2017		8/30/2019 3:49 PM
Details	DSH240080BR	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Breast Center - Oncology	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 2nd Floor Suite 202	Minneapolis	MN	04/01/2019		8/30/2019 3:55 PM
Details	DSH240080J	UNIVERSITY OF MINNESOTA MEDICAL CENTER	ADVANCED TREATMENT CENTER	Disproportionate Share Hospital	909 FULTON ST. SE	CLINICS AND SURGERY CENTER, 2ND FLOOR SOUTH	MINNEAPOLIS	MN	01/01/2017		8/30/2019 3:22 PM
Details	DSH240080K	UNIVERSITY OF MINNESOTA MEDICAL CENTER	UMMC Lakes Cancer Clinic and Infusion	Disproportionate Share Hospital	5200 Fairview Blvd	Suite 1300	Wyoming	MN	01/01/2017		8/30/2019 3:28 PM
Details	DSH240080L	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Psychiatry Clinics	Disproportionate Share Hospital	2450 Riverside Ave	Suite F275	Minneapolis	MN	01/01/2017		8/30/2019 3:08 PM
Details	DSH240080M	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric Explorer Clinic	Disproportionate Share Hospital	2450 Riverside Ave	East 12th floor	Minneapolis	MN	01/01/2017		8/30/2019 3:53 PM
Details	DSH240080N	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric Dialysis Clinic	Disproportionate Share Hospital	2450 Riverside Ave		Minneapolis	MN	01/01/2017		8/30/2019 3:21 PM
Details	DSH240080P	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric Journey Clinic and Infusion	Disproportionate Share Hospital	2450 Riverside Ave	Riverside E 9th Floor	Minneapolis	MN	01/01/2017		8/30/2019 3:38 PM
Details	DSH240080Q	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Behavioral Health Services	Disproportionate Share Hospital	2312 S. 6th Street		Minneapolis	MN	01/01/2017		8/30/2019 3:35 PM
Details	DSH240080R	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Pediatric Discovery Clinic	Disproportionate Share Hospital	2512 S 7th St	Suite 300	Minneapolis	MN	01/01/2017		8/30/2019 3:31 PM
Details	DSH240080U	UNIVERSITY OF MINNESOTA MEDICAL CENTER	UMMC Fairview Adult Infusion Clinic	Disproportionate Share Hospital	606 24th Ave So	Suite 200	Minneapolis	MN	01/01/2017		8/30/2019 4:01 PM
Details	DSH240080W	UNIVERSITY OF MINNESOTA MEDICAL CENTER	Cancer Clinics	Disproportionate Share Hospital	909 Fulton Street SE	Clinics and Surgery Center, 2nd Floor North	Minneapolis	MN	01/01/2017		8/30/2019 4:02 PM

History

Section	Field	Action	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert		FAIRVIEW LAKES PHARMACY WYOMING 5200 FAIRVIEW BOULEVARD WYOMING, MN 55092	9/29/2017 6:44 AM
Details	Comments	Update			3/28/2013 4:19 PM
Addresses	Pharmacy Address	Update	Fairview Lakes Pharmacy Wyoming 5200 Fairview Boulevard Wyoming, MN 55092	FAIRVIEW LAKES PHARMACY WYOMING 5200 FAIRVIEW BOULEVARD WYOMING, MN 55092	3/13/2013 5:27 PM
Details	Name	Update	Fairview Lakes Pharmacy Wyoming	FAIRVIEW LAKES PHARMACY WYOMING	3/13/2013 5:27 PM
Details	Comments	Insert			1/15/2013 2:55 PM
Details	Is Deleted	Insert		False	1/15/2013 2:55 PM
Addresses	Pharmacy Address	Insert		Fairview Lakes Pharmacy Wyoming 5200 Fairview Boulevard Wyoming, MN 55092	1/15/2013 2:55 PM
Details	Name	Insert		Fairview Lakes Pharmacy Wyoming	1/15/2013 2:55 PM

340B Drug Pricing Program Database

Contracts

History