340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WEST ACRES PHARMACY INC
RRC350070-00 INNOVIS HEALTH
Print
Covered Entity Details
Entity Name
INNOVIS HEALTH
Subdivision Name
Type
Rural Referral Center
340B ID
RRC350070-00
Entity Address
3000 32ND AVENUE S
FARGO, ND 58103
Medicare Provider Number
350070
Participating Start Date
4/1/2022
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
WEST ACRES PHARMACY INC
Pharmacy Address
3902 13TH AVE S STE 3706
WEST ACRES SHOPPING CENTER
FARGO, ND 58103-7512
Pharmacy Comments
Contract Details
Approval Date
5/1/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Al Hurley, COO
(701) 364-7667
Contract Pharmacy Representative
West Acres Pharmacy
Karen Adamek, Pharmacy Manager
(701) 282-0285
Signed By Date
5/1/2023
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