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ALLINA HEALTH UNITED PHARMACY
DSH240038F United Hospital
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Covered Entity Details
Entity Name
United Hospital
Subdivision Name
Minnesota Perinatal Physicians - United
Type
Disproportionate Share Hospital
340B ID
DSH240038F
Entity Address
347 North Smith Avenue
204
Saint Paul, MN 55102
Medicare Provider Number
240038
Outpatient Facility Provider Number
Participating Start Date
10/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ALLINA HEALTH UNITED PHARMACY
Pharmacy Address
333 SMITH AVE N
SAINT PAUL, MN 55102-2344
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
1/1/2024
Contract Comments
Contacts
Covered Entity Signing Official
John P. Bien, CFO
(651) 241-8827
Contract Pharmacy Representative
allina
Ann Byre, Director of Pharmacy Services
(612) 262-5992
Signed By Date
10/14/2013
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