340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALTSCRIPTS SPECIALTY PHARMACY
SCH520109-00 MILE BLUFF MEDICAL CENTER INC.
Print
Covered Entity Details
Entity Name
MILE BLUFF MEDICAL CENTER INC.
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH520109-00
Entity Address
1050 DIVISION STREET
Mauston, WI 53948
Medicare Provider Number
520109
Participating Start Date
1/1/2016
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
ALTSCRIPTS SPECIALTY PHARMACY
Pharmacy Address
1636 MILLER PARK WAY
WEST MILWAUKEE, WI 53214-3604
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dara Beth Bartels, Chief Executive Officer
(608) 847-2992
Contract Pharmacy Representative
Altscripts Specialty Pharmacy
Joanna Lalich, Senior Vice President of Operations
(312) 805-6277
Signed By Date
10/17/2022
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