340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WHITE DRUG #71
CAH351328-00 Linton Hospital
Print
Covered Entity Details
Entity Name
Linton Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351328-00
Entity Address
111 Elm Ave W
Linton, ND 58552-0850
Medicare Provider Number
351328
Participating Start Date
7/1/2014
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
WHITE DRUG #71
Pharmacy Address
121 N BROADWAY ST
P.O. BOX 760
LINTON, ND 58552-7018
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Black, CEO
(701) 254-4511 Ext: 105
Contract Pharmacy Representative
Thrifty White
Timothy Weippert, EVP of Pharmacy
(763) 513-4365
Signed By Date
4/4/2014
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