340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CORNER DRUG INC
CAH241311-00 SIBLEY MEDICAL CENTER
Print
Covered Entity Details
Entity Name
SIBLEY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241311-00
Entity Address
601 WEST CHANDLER ST
ARLINGTON, MN 55307-2127
Medicare Provider Number
241311
Participating Start Date
9/28/2010
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
CORNER DRUG INC
Pharmacy Address
CORNER DRUG HEALTH MART
204 VALLEY GREEN SQUARE
LE SUEUR, MN 56058-5605
Pharmacy Comments
Contract Details
Approval Date
10/22/2012
Contract Begin Date
10/22/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/29/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Todd Sandberg, Administrator/CEO
(507) 964-8425
Contract Pharmacy Representative
Ron Grothe, Owner
(507) 665-3301
Signed By Date
9/14/2012
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