340B Drug Pricing Program Database
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CAH241359-00 AVERA MARSHALL (Active)
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Main Details
Name
AVERA MARSHALL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241359-00
Medicare Provider Number
241359
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/22/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Avera
Melissa Goff, Vice President - Pharmacy
(605) 322-8548
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
300 S BRUCE STREET
MARSHALL, MN 56258-1934
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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