340B Drug Pricing Program Database


ESSENTIA HEALTH PEQUOT LAKES PHARMACY - information as of 5/6/2025 11:23:41 PM


ESSENTIA HEALTH PEQUOT LAKES PHARMACY

30581 PATRIOT AVE
SUITE A
PEQUOT LAKES, MN 56472



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH521329-00ST MARYS HOSPITAL OF SUPERIOR Critical Access Hospital3500 TOWER AVE
SUPERIORWI07/01/2024 7/1/2024 12:01 AM
DetailsDSH240019SMDC MEDICAL CENTER Disproportionate Share Hospital502 E 2ND ST
DULUTHMN07/01/2024 7/1/2024 12:01 AM
DetailsDSH240101ST MARYS REGIONAL HEALTH CENTEREssentia Health St. Mary'sDisproportionate Share Hospital1027 WASHINGTON AVE
DETROIT LAKESMN10/01/2019 4/6/2021 2:05 PM
DetailsSCH240075-00ST JOSEPHS MEDICAL CENTER Sole Community Hospital523 N 3RD ST
BRAINERDMN10/01/2019 4/6/2021 9:13 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  ESSENTIA HEALTH PEQUOT LAKES PHARMACY 30581 PATRIOT AVE SUITE A PEQUOT LAKES, MN 564726/6/2019 2:25 PM
DetailsCommentsInsert   5/8/2019 4:31 PM
DetailsIs DeletedInsert  False5/8/2019 4:31 PM
AddressesPharmacy AddressInsert  ESSENTIA HEALTH PEQUOT LAKES PHARMACY 30503 PATRIOT AVE PEQUOT LAKES, MN 564725/8/2019 4:31 PM
DetailsNameInsert  ESSENTIA HEALTH PEQUOT LAKES PHARMACY5/8/2019 4:31 PM