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MODERN RX
CAH231306-00 MACKINAC STRAITS HOSPITAL & HEALTH CENTER
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Covered Entity Details
Entity Name
MACKINAC STRAITS HOSPITAL & HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231306-00
Entity Address
1140 NORTH STATE STREET
SAINT IGNACE, MI 49781
Medicare Provider Number
231306
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
MODERN RX
Pharmacy Address
3944 S STRAITS HWY
INDIAN RIVER, MI 49749-5135
Pharmacy Comments
Contract Details
Approval Date
4/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Louise Cheeseman, CEO
(906) 643-8585 Ext: 30457
Contract Pharmacy Representative
Mackinac Straits Health System
ANGELA KANDLER, DIRECTOR OF PHARMACY
(906) 643-0447
Signed By Date
4/9/2019
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