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ALLINA HEALTH OWATONNA PHARMACY
DSH240057 ABBOTT NORTHWESTERN HOSPITAL
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Covered Entity Details
Entity Name
ABBOTT NORTHWESTERN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240057
Entity Address
800 EAST 28TH STREET
MINNEAPOLIS, MN 55407
Medicare Provider Number
240057
Participating Start Date
10/1/2015
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
ALLINA HEALTH OWATONNA PHARMACY
Pharmacy Address
2250 NW 26TH ST
OWATONNA, MN 55060-5503
Pharmacy Comments
Contract Details
Approval Date
1/4/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/21/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Contract Pharmacy Representative
Allina Health
Tim J Gallagher, Director, Retail and Specialty Pharmacy
(612) 262-6654
Signed By Date
1/4/2023
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