340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-1634
CAH241356-00 MILLE LACS HOSPITAL
Print
Covered Entity Details
Entity Name
MILLE LACS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241356-00
Entity Address
200 N Elm St
ONAMIA, MN 56359
Medicare Provider Number
241356
Participating Start Date
4/1/2015
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1634
Pharmacy Address
15091 18TH ST NE
LITTLE FALLS, MN 56345
Pharmacy Comments
Contract Details
Approval Date
7/8/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Nelson, CEO
(320) 532-2580
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/8/2024
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