340B Drug Pricing Program Database
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CAH161321-00 Avera Merrill Pioneer Hospital (Active)
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Main Details
Name
Avera Merrill Pioneer Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161321-00
Medicare Provider Number
161321
Additional Details
Current Program Status
Active
Registration Date
4/26/2019
Participating Start Date
4/30/2019
Participating Approval Date
4/30/2019
Last Recertification Date
8/28/2024
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
1100 S. 10th Ave
Rock Rapids, IA 51246
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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