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MAYO CLINIC PHARMACY
CAH241346-00 CANNON FALLS MEDICAL CENTER - MAYO
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Covered Entity Details
Entity Name
CANNON FALLS MEDICAL CENTER - MAYO
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241346-00
Entity Address
32021 COUNTY 24 BOULEVARD
CANNON FALLS, MN 55009
Medicare Provider Number
241346
Participating Start Date
4/1/2017
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
7/16/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Douglas Crockett, Regional Chair-Administration
(507) 422-5678 Ext: 5079909402
Contract Pharmacy Representative
Mayo Clinic
Jordan Daniel Haag, Associate Chief Pharmacy Officer
(507) 284-5722
Signed By Date
7/16/2024
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