340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FAIRVIEW PHARMACY ST. PAUL
DSH240210 HEALTHEAST ST JOHNS HOSPITAL
Print
Covered Entity Details
Entity Name
HEALTHEAST ST JOHNS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240210
Entity Address
1575 BEAM AVENUE
MAPLEWOOD, MN 55109
Medicare Provider Number
240210
Participating Start Date
10/1/2014
Last Recertification Date
8/26/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
FAIRVIEW PHARMACY ST. PAUL
Pharmacy Address
17 WEST EXCHANGE STREET, SUITE 150
SAINT PAUL, MN 55102
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/27/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Catherine Barr, SVP/COO
(651) 232-2185
Contract Pharmacy Representative
Fairview Health Services
Robert Beacher, President, Fairview Pharmacy Services LLC
(612) 672-7047
Signed By Date
10/16/2017
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