340B Drug Pricing Program Database

Pharmacy Name

AVERA SPECIALTY PHARMACY

Pharmacy Address

500 E 56TH ST N STE 3150
SIOUX FALLS, SD 57104

Pharmacy Comments

5/4/11 UPDATED NAME AND ADDR (WAS AVERA DOCTORS PLAZA 2 PHARMACY, 1100 EAST 21ST STREET, SUITE 200)

Approval Date

7/9/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/7/2018
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

DAVE KAPASKA, REGIONAL PRESIDENT/CEO
(605) 322-7808

Contract Pharmacy Representative

Avera Specialty Pharmacy
Brian Lounsbery, Pharmacy Manager
(605) 322-8360

Signed By Date

7/9/2015