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ALLINA HEALTH HEART HOSPITAL PHARMACY
DSH240038L United Hospital
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Covered Entity Details
Entity Name
United Hospital
Subdivision Name
United Pain Management Clinic
Type
Disproportionate Share Hospital
340B ID
DSH240038L
Entity Address
255 North Smith Avenue
100
St Paul, MN 55102-2518
Medicare Provider Number
240038
Outpatient Facility Provider Number
Participating Start Date
10/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ALLINA HEALTH HEART HOSPITAL PHARMACY
Pharmacy Address
920 E 28TH ST STE H1254
MINNEAPOLIS, MN 55407
Pharmacy Comments
Contract Details
Approval Date
10/8/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
1/1/2024
Contract Comments
Contacts
Covered Entity Signing Official
Phillip J. Krolik, VP, Finance
(651) 241-8827
Contract Pharmacy Representative
allina
Ann Byre, Director of Pharmacy Services
(612) 262-5992
Signed By Date
10/8/2019
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