340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CASH WISE PHARMACY
CAH241376-00 GLACIAL RIDGE HEALTH SYSTEM
Print
Covered Entity Details
Entity Name
GLACIAL RIDGE HEALTH SYSTEM
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241376-00
Entity Address
10 FOURTH AVE SE
GLENWOOD, MN 56334
Medicare Provider Number
241376
Participating Start Date
10/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
CASH WISE PHARMACY
Pharmacy Address
CASH WISE PHARMACY #3009
113 WAITE AVE S
CASH WISE PHARMACY 3009
WAITE PARK, MN 56387-1348
Pharmacy Comments
Contract Details
Approval Date
1/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KYLE CHASE, CFO
(320) 634-2206
Contract Pharmacy Representative
Coborn's Pharmacy
Rebecca Pickler, District Pharmacy Manager
(320) 534-2745
Signed By Date
1/7/2025
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