340B Drug Pricing Program Database

Pharmacy Name

ESSENTIA HEALTH INTERNATIONAL FALLS PHAR

Pharmacy Address

2501 KEENAN DRIVE
SUITE A
INTERNATIONAL FALLS, MN 56649

Pharmacy Comments

Approval Date

11/16/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Sam Stone, COO
(218) 742-8600 Ext: 2496

Contract Pharmacy Representative

Essentia Health
Kenzie Hohman, Senior Director of Ambulatory Pharmacy
(715) 817-7171

Signed By Date

10/15/2020