340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ESSENTIA HEALTH VIRGINIA PHARMACY
RRC240002-00 ST. MARYS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ST. MARYS MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC240002-00
Entity Address
402 E 2ND STREET
DULUTH, MN 55805
Medicare Provider Number
240002
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
ESSENTIA HEALTH VIRGINIA PHARMACY
Pharmacy Address
1101 9TH ST N STE A
VIRGINIA, MN 55792-2329
Pharmacy Comments
Contract Details
Approval Date
7/31/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bradley Beard, Chief Operating Officer
(218) 786-2652
Contract Pharmacy Representative
Essentia Health
Kenzie Hohman, Senior Director of Ambulatory Pharmacy
(715) 817-7171
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