340B Drug Pricing Program Database
ARFSTROM PHARMACY
SCH230239-00 MyMichigan Medical Center Sault - information as of 6/7/2025 5:14:33 AM
Covered Entity Details
Entity Name
MyMichigan Medical Center Sault
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230239-00
Entity Address
500 OSBORN BOULEVARD
SAULT STE. MARIE, MI 49783
Medicare Provider Number
230239
Participating Start Date
9/1/2010
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
ARFSTROM PHARMACY
Pharmacy Address
4 E M 134
CEDARVILLE, MI 49719
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Kalchik, President
(906) 635-4456
Contract Pharmacy Representative
Arfstrom Pharmacies, Inc.
Andrew McMillan, Owner/President
(906) 632-9661
Signed By Date
7/10/2023
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