340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WARREN PHARMACY INC.
SCH350019-00 ALTRU HOSPITAL
Print
Covered Entity Details
Entity Name
ALTRU HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH350019-00
Entity Address
1200 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58201
Medicare Provider Number
350019
Participating Start Date
8/5/2010
Last Recertification Date
9/11/2024
Pharmacy Details
Pharmacy Name
WARREN PHARMACY INC.
Pharmacy Address
WARREN PHARMACY INC.
103 W. JOHNSON AVE
WARREN, MN 56762
Pharmacy Comments
Contract Details
Approval Date
1/16/2023
Contract Begin Date
1/16/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erin Gail Navarro, Director of Pharmacy
(701) 780-3443
Contract Pharmacy Representative
Warren Pharmacy
Shelby Knott, Pharmacist
(218) 289-5859
Signed By Date
1/16/2023
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