340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CORNER DRUG STORE OF WAHPETON INC
CAH241377-00 ST. FRANCIS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ST. FRANCIS MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241377-00
Entity Address
2400 ST. FRANCIS DR
BRECKENRIDGE, MN 56520
Medicare Provider Number
241377
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
CORNER DRUG STORE OF WAHPETON INC
Pharmacy Address
619 DAKOTA AVE
WAHPETON, ND 58075
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVID NELSON, CEO
(218) 643-0400
Contract Pharmacy Representative
Corner Drug
Lee Ann Folden, Manager
(701) 642-5595
Signed By Date
1/15/2020
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