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ALLINA HEALTH OWATONNA PHARMACY
DSH240069 OWATONNA HOSPITAL
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Covered Entity Details
Entity Name
OWATONNA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240069
Entity Address
2250 NW 26TH STREET
OWATONNA, MN 55060
Medicare Provider Number
240069
Participating Start Date
1/1/2021
Last Recertification Date
9/6/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
ALLINA HEALTH OWATONNA PHARMACY
Pharmacy Address
2250 NW 26TH ST
OWATONNA, MN 55060-5503
Pharmacy Comments
Contract Details
Approval Date
4/27/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Gillen, Director OP/Fin
(507) 977-2322
Contract Pharmacy Representative
Allina Health
Tim J Gallagher, Director, Retail and Specialty Pharmacy
(612) 262-6654
Signed By Date
4/27/2021
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