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MAYO CLINIC PHARMACY
CAH521340-00 Mayo Clinic Health System - Red Cedar
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Covered Entity Details
Entity Name
Mayo Clinic Health System - Red Cedar
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521340-00
Entity Address
2321 Stout Road
Menomonie, WI 54751
Medicare Provider Number
521340
Participating Start Date
1/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC PHARMACY
Pharmacy Address
3551 Commercial Dr SW
Rochester, MN 55902
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Lindberg, Vice President- Red Cedar
(715) 233-7414
Contract Pharmacy Representative
Mayo Clinic
Jordan Daniel Haag, Associate Chief Pharmacy Officer
(507) 284-5722
Signed By Date
1/13/2020
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