340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JLF ENTERPRISES, INC
DSH430015 AVERA ST. MARY'S
Print
Covered Entity Details
Entity Name
AVERA ST. MARY'S
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH430015
Entity Address
801 E SIOUX
PIERRE, SD 57501
Medicare Provider Number
430015
Participating Start Date
10/1/2014
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
JLF ENTERPRISES, INC
Pharmacy Address
DBA DAKOTAMART
120 W SIOUX AVE
PIERRE, SD 57501
Pharmacy Comments
Contract Details
Approval Date
4/1/2023
Contract Begin Date
4/3/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa Goff, Vice President - Pharmacy
(605) 322-8548
Contract Pharmacy Representative
Dakotamart Pharmacy
Kristen Carter, Manager
(605) 224-7396
Signed By Date
4/1/2023
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