Ryan White Part B · ND
Canopy Medical Clinic
- 0Registered locations
- 1Associated locations
- 2Contract pharmacies
- 2With no end date
- 1 January 2022In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Canopy Medical Clinic” (340B ID RWII58103), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RWII58103
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 2022
- Certification date
- 3 February 2026
- Record last edited
- 3 February 2026
Identifiers
- 340B ID
- RWII58103
- Entity type as filed
- RWII
- Grant number
- X07HA00043
- NPI
- 1255782132 (MN,ND,SD), 1275001992 (MN,ND,SD), 1386280261 (MN,ND,SD)
1411 32nd St S, Suite 1, Fargo ND 58103
Associated locations
| Organization | Address | Where |
|---|---|---|
| Canopy Medical Clinic | 1411 32nd St S, Suite 1 | Fargo ND 58103 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| AVITA PHARMACY 1040 | BATON ROUGE, LA | 17 October 2022 | no end date filed |
| LONGS DRUGS OF LEXINGTON | LEXINGTON, SC | 17 October 2022 | no end date filed |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.