340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GRAND ST. PAUL CVS, L.L.C.
RWII55404 Rainbow Health Minnesota
Print
Covered Entity Details
Entity Name
Rainbow Health Minnesota
Subdivision Name
Type
Ryan White Part B
340B ID
RWII55404
Entity Address
701 S 4th Ave
Ste. 1500
Minneapolis, MN 55415
Grant Number
X07HA00028
Participating Start Date
10/1/2022
Last Recertification Date
1/30/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
GRAND ST. PAUL CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16015
1744 SUBURBAN AVE
SAINT PAUL, MN 55106
Pharmacy Comments
Contract Details
Approval Date
12/22/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeremy James Hanson Willis, CEO
(612) 373-2400 Ext: 6123065274
Contract Pharmacy Representative
CVS
Alex Hazard, Account Manager
(315) 886-5406
Signed By Date
12/22/2022
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