340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WHITE DRUG #61
CAH161371-00 Winneshiek Medical Center
Print
Covered Entity Details
Entity Name
Winneshiek Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161371-00
Entity Address
901 Montgomery St
Decorah, IA 52101
Medicare Provider Number
161371
Participating Start Date
7/1/2014
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WHITE DRUG #61
Pharmacy Address
706 38TH ST NW UNIT A
FARGO, ND 58102
Pharmacy Comments
Contract Details
Approval Date
10/11/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynn Luloff, CFO
(563) 387-3109
Contract Pharmacy Representative
Thrifty Drug Stores, Inc.
Anne Brader, CFO
(763) 513-4331
Signed By Date
10/11/2018
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