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MAYO CLINIC PHARMACY
RRC520004-00 MCHS FRANCISCAN HEALTHCARE INC
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Covered Entity Details
Entity Name
MCHS FRANCISCAN HEALTHCARE INC
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520004-00
Entity Address
700 WEST AVE SOUTH
LA CROSSE, WI 54601-4783
Medicare Provider Number
520004
Participating Start Date
7/1/2021
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC PHARMACY
Pharmacy Address
3551 Commercial Dr SW
Rochester, MN 55902
Pharmacy Comments
Contract Details
Approval Date
5/17/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Morrey, Regional Chair--Administration NWWI
(715) 464-0022
Contract Pharmacy Representative
Mayo Clinic
Jordan Daniel Haag, Associate Chief Pharmacy Officer
(507) 284-5722
Signed By Date
4/13/2021
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