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MEDICINE SHOPPE
SCH350006-00 TRINITY HOSPITALS
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Covered Entity Details
Entity Name
TRINITY HOSPITALS
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH350006-00
Entity Address
2305 37th Ave SW
MINOT, ND 58701
Medicare Provider Number
350006
Participating Start Date
7/1/2016
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
MEDICINE SHOPPE
Pharmacy Address
1118 S BROADWAY
MINOT, ND 58701
Pharmacy Comments
Contract Details
Approval Date
1/8/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/28/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Thomas Warsocki, VP
(701) 857-5239
Contract Pharmacy Representative
The Medicine Shoppe
Pat Delvo, Pharmacist-in-charge
(701) 852-1524
Signed By Date
1/8/2020
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