340B Drug Pricing Program Database

Pharmacy Name

ST CROIX REGIONAL MEDICAL CTR

Pharmacy Address

235 E STATE ST
SAINT CROIX FALLS, WI 54024-4117

Pharmacy Comments

Approval Date

1/15/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2016
Pharmacy closed

Covered Entity Signing Official

John Tremble, CFO
(715) 483-0317

Contract Pharmacy Representative

Tara Yunker, Director of Pharmacy
(715) 483-0260

Signed By Date

1/15/2014