340B Drug Pricing Program Database

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SANFORD PHARMACY DETROIT LAKES
DSH350011 SANFORD MEDICAL CENTER FARGO

Covered Entity Details

Disproportionate Share Hospital
DSH350011
801 BROADWAY NORTH
FARGO, ND 58102
350011
4/1/2017
8/20/2024


Pharmacy Details

1245 WASHINGTON AVE STE B
DETROIT LAKES, MN 56501-3925

Contract Details

2/23/2017
4/1/2017

10/23/2020
Business decision by covered entity and/or pharmacy


Contacts


Tiffany Lawrence, President and CEO, Fargo
(701) 417-2314



Sanford Health
Jesse Breidenbach, Vice President, Pharmacy
(701) 234-6887
2/23/2017