340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHIPPEWA CLINIC PHARMACY INC.
DSH520210 MARSHFIELD MEDICAL CENTER-EAU CLAIRE
Print
Covered Entity Details
Entity Name
MARSHFIELD MEDICAL CENTER-EAU CLAIRE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH520210
Entity Address
2310 Craig Road
EAU CLAIRE, WI 54701
Medicare Provider Number
520210
Participating Start Date
10/1/2021
Last Recertification Date
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
CHIPPEWA CLINIC PHARMACY INC.
Pharmacy Address
2509 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729
Pharmacy Comments
Contract Details
Approval Date
7/26/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/30/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Bill Priest, CAO
(715) 858-4782
Contract Pharmacy Representative
MMC
Steve Bartig, Manager-Pharmacy Services
(715) 726-4239
Signed By Date
7/7/2021
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