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ESSENTIA HEALTH SUPERIOR PHARMACY
CH0510280 LAKE SUPERIOR COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Subdivision Name
LAKE SUPERIOR HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0510280
Entity Address
4325 Grand Ave
Duluth, MN 55807-2730
Grant Number
H80CS00811
Participating Start Date
10/1/2000
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
ESSENTIA HEALTH SUPERIOR PHARMACY
Pharmacy Address
3500 TOWER AVE STE A
SUPERIOR, WI 54880
Pharmacy Comments
Contract Details
Approval Date
7/25/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dayle Patterson, CEO
(218) 336-3580
Contract Pharmacy Representative
Essentia Health
Bryan Lundberg, 340b Program Manager
(218) 576-0745
Signed By Date
7/25/2017
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