340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TIOGA DRUG
CH081071A Northland Health Partners Community Health Center
Print
Covered Entity Details
Entity Name
Northland Health Partners Community Health Center
Subdivision Name
McClusky Clinic
Type
HRSA-Funded Health Center
340B ID
CH081071A
Entity Address
122 2nd St NE
Mcclusky, ND 58463-9743
Grant Number
H80CS00847
Participating Start Date
1/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
TIOGA DRUG
Pharmacy Address
PO BOX 639
106 N. MAIN ST
TIOGA, ND 58852
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
Nadine Boe, CEO
(701) 448-2054 Ext: 7017204347
Contract Pharmacy Representative
Tioga Drug
Tim Joyce, Pharmacist
(701) 664-2463 Ext: 7016642463
Signed By Date
1/13/2020
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