340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY WHITE PARTNERS IN CARE
CAH161301-00 BELMOND COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
BELMOND COMMUNITY HOSPITAL
Subdivision Name
DBA IOWA SPECIALTY HOSPITAL - BELMOND
Type
Critical Access Hospital
340B ID
CAH161301-00
Entity Address
403 1ST STREET SE
BELMOND, IA 50421
Medicare Provider Number
161301
Participating Start Date
9/27/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PARTNERS IN CARE
Pharmacy Address
706 38TH ST NW UNIT B
FARGO, ND 58102
Pharmacy Comments
Contract Details
Approval Date
7/5/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREG POLZIN, CFO
(641) 444-5623
Contract Pharmacy Representative
Thrifty Drug Stores, Inc.
Anne Brader, CFO
(763) 513-4331
Signed By Date
7/5/2022
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