340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SEWARD PHARMACY
FQHCLA262A UNIVERSAL MEDICAL SERVICES, INC.
Print
Covered Entity Details
Entity Name
UNIVERSAL MEDICAL SERVICES, INC.
Subdivision Name
Axis Lake
Type
Health Center Program Look-Alike
340B ID
FQHCLA262A
Entity Address
1 W Lake St
Minneapolis, MN 55408-3154
Grant Number
LALCS00028
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SEWARD PHARMACY
Pharmacy Address
2209 E LAKE ST
MINNEAPOLIS, MN 55407
Pharmacy Comments
Contract Details
Approval Date
7/2/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Theodore James, CEO
(612) 823-2947 Ext: 826
Contract Pharmacy Representative
Seward Pharmacy
Elias Usso, PIC
(503) 740-9037
Signed By Date
7/2/2020
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