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MAYO CLINIC PHARMACY
CAH241345-00 MAYO CLINIC HEALTH SYSTEM - WASECA
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Covered Entity Details
Entity Name
MAYO CLINIC HEALTH SYSTEM - WASECA
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241345-00
Entity Address
501 N. STATE STREET
WASECA, MN 56093
Medicare Provider Number
241345
Participating Start Date
10/1/2023
Last Recertification Date
8/14/2024
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
Travis C. Paul, Regional Chair of Administration SWMN
(608) 392-9716
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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