340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THRIFTY WHITE PHARMACY #768
CAH241348-00 AVERA TYLER
Print
Covered Entity Details
Entity Name
AVERA TYLER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241348-00
Entity Address
240 WILLOW STREET
TYLER, MN 56178
Medicare Provider Number
241348
Participating Start Date
4/1/2013
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PHARMACY #768
Pharmacy Address
183 N TYLER ST
TYLER, MN 56178-1160
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DALE KRUGER, CEO
(507) 247-2351
Contract Pharmacy Representative
Thrifty White
Timothy Weippert, EVP of Pharmacy
(763) 513-4365
Signed By Date
4/15/2013
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