340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CENTRACARE PHARMACY HEALTH
DSH240036 ST. CLOUD HOSPITAL
Print
Covered Entity Details
Entity Name
ST. CLOUD HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240036
Entity Address
1406 6TH AVENUE NORTH
Saint Cloud, MN 56303
Medicare Provider Number
240036
Participating Start Date
7/1/2016
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
CENTRACARE PHARMACY HEALTH
Pharmacy Address
PLAZA
1900 CENTRACARE CIR
SUITE 1350
SAINT CLOUD, MN 56303-5000
Pharmacy Comments
Contract Details
Approval Date
5/31/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2022
Ownership change
Contacts
Covered Entity Signing Official
Greg Klugherz, CFO
(320) 255-5655
Contract Pharmacy Representative
CentraCare
Keith Karsky, Coordinator, Retail Pharmacy Services
(320) 229-5199 Ext: 70580
Signed By Date
5/31/2016
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