340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MAYO CLINIC PHARMACY
RRC520004-60 MCHS FRANCISCAN HEALTHCARE INC
Print
Covered Entity Details
Entity Name
MCHS FRANCISCAN HEALTHCARE INC
Subdivision Name
MCHS—Franciscan Healthcare in La Crosse—Infectious Diseases
Type
Rural Referral Center
340B ID
RRC520004-60
Entity Address
800 WEST AVE S
La Crosse, WI 54601
Medicare Provider Number
520004
Outpatient Facility Provider Number
Participating Start Date
7/1/2021
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC PHARMACY
Pharmacy Address
3551 Commercial Dr SW
Rochester, MN 55902
Pharmacy Comments
Contract Details
Approval Date
5/18/2021
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
Mike O'Brien, Director
(715) 838-6762
Signed By Date
4/13/2021
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