340B Drug Pricing Program Database

Pharmacy Name

AVERA SPECIALTY PHARMACY

Pharmacy Address

500 E 56TH ST N STE 3150
SIOUX FALLS, SD 57104

Pharmacy Comments

5/4/11 UPDATED NAME AND ADDR (WAS AVERA DOCTORS PLAZA 2 PHARMACY, 1100 EAST 21ST STREET, SUITE 200)

Approval Date

1/10/2023

Contract Begin Date

1/17/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/24/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Melissa Goff, Vice President - Pharmacy
(605) 322-8548

Contract Pharmacy Representative

Avera McKennan
David Flicek, Avera McKennan President/CEO
(605) 322-7916

Signed By Date

1/10/2023