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MAYO CLINIC PHARMACY
SCH240093-00 MAYO CLINIC HEALTH SYSTEM MANKATO
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Covered Entity Details
Entity Name
MAYO CLINIC HEALTH SYSTEM MANKATO
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH240093-00
Entity Address
1025 MARSH STREET
MANKATO, MN 56001
Medicare Provider Number
240093
Participating Start Date
7/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC PHARMACY
Pharmacy Address
3551 Commercial Dr SW
Rochester, MN 55902
Pharmacy Comments
Contract Details
Approval Date
1/12/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terry Brandt, Regional Chair of Administration SWMN
(507) 385-6562
Contract Pharmacy Representative
Mayo Clinic
Jordan Daniel Haag, Associate Chief Pharmacy Officer
(507) 284-5722
Signed By Date
1/12/2020
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