340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALLINA HEALTH HEART HOSPITAL PHARMACY
DSH240069 OWATONNA HOSPITAL
Print
Covered Entity Details
Entity Name
OWATONNA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240069
Entity Address
2250 NW 26TH STREET
OWATONNA, MN 55060
Medicare Provider Number
240069
Participating Start Date
1/1/2021
Last Recertification Date
9/6/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
ALLINA HEALTH HEART HOSPITAL PHARMACY
Pharmacy Address
920 E 28TH ST STE H1254
MINNEAPOLIS, MN 55407
Pharmacy Comments
Contract Details
Approval Date
4/10/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Contract Pharmacy Representative
allina
Ann Byre, Director of Pharmacy Services
(612) 262-5992
Signed By Date
4/10/2023
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