340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALLINA HEALTH WESTHEALTH PHARMACY
DSH240020B CAMBRIDGE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CAMBRIDGE MEDICAL CENTER
Subdivision Name
Courage Kenny Rehabilitation Institute
Type
Disproportionate Share Hospital
340B ID
DSH240020B
Entity Address
701 Dellwood St S
Cambridge, MN 55008-1920
Medicare Provider Number
240020
Outpatient Facility Provider Number
Participating Start Date
1/1/2022
Last Recertification Date
8/12/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
ALLINA HEALTH WESTHEALTH PHARMACY
Pharmacy Address
2855 CAMPUS DR
PLYMOUTH, MN 55441
Pharmacy Comments
Contract Details
Approval Date
3/27/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
4/1/2024
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
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 Health
Tim J Gallagher, Director, Retail and Specialty Pharmacy
(612) 262-6654
Signed By Date
3/27/2024
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