340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ESSENTIA HEALTH SILVER BAY PHARMACY
CH052700 SAWTOOTH MOUNTAIN CLINIC INC
Print
Covered Entity Details
Entity Name
SAWTOOTH MOUNTAIN CLINIC INC
Subdivision Name
SAWTOOTH MOUNTAIN CLINIC
Type
HRSA-Funded Health Center
340B ID
CH052700
Entity Address
513 5th Ave W
Grand Marais, MN 55604-3017
Grant Number
H80CS00496
Participating Start Date
1/1/2004
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
ESSENTIA HEALTH SILVER BAY PHARMACY
Pharmacy Address
99 EDISON BLVD STE L
SILVER BAY, MN 55614-1269
Pharmacy Comments
Contract Details
Approval Date
9/1/2020
Contract Begin Date
9/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kate Surbaugh, CEO
(218) 387-2330 Ext: 159
Contract Pharmacy Representative
Essentia Health Silver Bay Pharmacy
Jacob Keller, PIC
(855) 223-5161
Signed By Date
9/1/2020
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