340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PICK N SAVE PHARMACY #8127
SCH520037-00 MARSHFIELD MEDICAL CENTER
Print
Covered Entity Details
Entity Name
MARSHFIELD MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH520037-00
Entity Address
611 ST JOSEPH AVENUE
MARSHFIELD, WI 54449
Medicare Provider Number
520037
Participating Start Date
7/1/2025
Last Recertification Date
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
PICK N SAVE PHARMACY #8127
Pharmacy Address
256 S LAKE ST
PHILLIPS, WI 54555
Pharmacy Comments
Contract Details
Approval Date
7/8/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Edward H Wolf, Chief Administrator Officer
(715) 387-7030
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/8/2019
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