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HENRY FORD PHARMACY ADVANTAGE
CAH231331-00 SPARROW IONIA HOSPITAL
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Covered Entity Details
Entity Name
SPARROW IONIA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231331-00
Entity Address
3565 S. State Rd
IONIA, MI 48846
Medicare Provider Number
231331
Participating Start Date
10/1/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
HENRY FORD PHARMACY ADVANTAGE
Pharmacy Address
2799 W GRAND BLVD
STE 100B
DETROIT, MI 48202-2608
Pharmacy Comments
Contract Details
Approval Date
7/18/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/8/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WILLIAM ROESER, PRESIDENT AND CHIEF EXECUTIVE OFFICER
(616) 523-1712
Contract Pharmacy Representative
Henry Ford Hospital
Alexander Mansour, 340B Compliance Officer
(248) 723-0020
Signed By Date
7/18/2018
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