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MAYO CLINIC PHARMACY
RRC520070-00 MCHS EAU CLAIRE HOSPITAL
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Covered Entity Details
Entity Name
MCHS EAU CLAIRE HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520070-00
Entity Address
1221 WHIPPLE STREET
EAU CLAIRE, WI 54703
Medicare Provider Number
520070
Participating Start Date
7/1/2018
Last Recertification Date
8/13/2024
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
Jason Craig, Regional Chair-Administration NWWI
(715) 464-0022
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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