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MAYO CLINIC PHARMACY
CAH521315-00 Mayo Clinic Health System Northland
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Covered Entity Details
Entity Name
Mayo Clinic Health System Northland
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521315-00
Entity Address
1222 East Woodland Avenue
Barron, WI 54812
Medicare Provider Number
521315
Participating Start Date
4/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC PHARMACY
Pharmacy Address
3551 Commercial Dr SW
Rochester, MN 55902
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele Eberle, Vice Chair-Administration NWWI
(715) 568-6113
Contract Pharmacy Representative
Mayo Clinic
Jordan Daniel Haag, Associate Chief Pharmacy Officer
(507) 284-5722
Signed By Date
7/15/2024
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