340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PARK NICOLLET PHARMACY
CAH521345-00 Westfields Hospital
Print
Covered Entity Details
Entity Name
Westfields Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521345-00
Entity Address
535 Hospital Road
New Richmond, WI 54017
Medicare Provider Number
521345
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
PARK NICOLLET PHARMACY
Pharmacy Address
3850 PARK NICOLLET BLVD.
ST LOUIS PARK, MN 55416
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Doug Edward Johnson, VP/CFO
(715) 243-2852
Contract Pharmacy Representative
HealthPartners
David L. Busch, VP of Pharmacy Operations
(952) 967-5049
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