340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARSHFIELD CLINIC PHARMACY
CAH521325-00 FLAMBEAU HOSPITAL INC.
Print
Covered Entity Details
Entity Name
FLAMBEAU HOSPITAL INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521325-00
Entity Address
98 SHERRY AVENUE
PARK FALLS, WI 54552-0310
Medicare Provider Number
521325
Participating Start Date
7/1/2021
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
MARSHFIELD CLINIC PHARMACY
Pharmacy Address
1000 N OAK AVE
MARSHFIELD, WI 54449
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ty Erickson, President-MMC-Minocqua/Park Falls
(715) 358-1299 Ext: 1704
Contract Pharmacy Representative
Marshfield Clinic Health System
Girish Kaimal, Chief Pharmacy Officer
(623) 296-2075
Signed By Date
4/15/2025
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