340B Drug Pricing Program Database

Pharmacy Name

FAMILY FARE PHARMACY #3335

Pharmacy Address

951 E FRONTAGE RD
LITCHFIELD, MN 55355-2613

Pharmacy Comments

Approval Date

7/8/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Nicole Siegner, Chief Finance Officer
(320) 693-4512

Contract Pharmacy Representative

Meeker Memorial Hospital
Brent Kosel, Pharmacy Director
(320) 693-4500 Ext: 4539

Signed By Date

7/8/2020