340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY WHITE DRUG #755
CAH241372-00 MADISON HOSPITAL
Print
Covered Entity Details
Entity Name
MADISON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241372-00
Entity Address
820 THIRD AVENUE
MADISON, MN 56256
Medicare Provider Number
241372
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE DRUG #755
Pharmacy Address
205 6TH AVE
MADISON, MN 56256-1308
Pharmacy Comments
Contract Details
Approval Date
12/30/2011
Contract Begin Date
12/30/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Larson, CEO
(320) 598-7536
Contract Pharmacy Representative
Thrifty White
Timothy Weippert, EVP of Pharmacy
(763) 513-4365
Signed By Date
12/13/2011
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