340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CAH241346-00 CANNON FALLS MEDICAL CENTER - MAYO
Print
Covered Entity Details
Entity Name
CANNON FALLS MEDICAL CENTER - MAYO
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241346-00
Entity Address
32021 COUNTY 24 BOULEVARD
CANNON FALLS, MN 55009
Medicare Provider Number
241346
Participating Start Date
4/1/2017
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04038
15034 SHANNON PKWY
ROSEMOUNT, MN 55068
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Ryan Gulden, Operations Administrator
(651) 345-6726
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2023
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