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ARFSTROM PHARMACY
SCH230239-00 MyMichigan Medical Center Sault
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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
P.O. BOX 398
CEDARVILLE, MI 49719
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/31/2023
Ownership change
Contacts
Covered Entity Signing Official
DAVID JAHN, PRESIDENT & CHIEF EXECUTIVE OFFICER
(906) 635-4650
Contract Pharmacy Representative
Arfstom Pharmacy - Cedarville
Scott Skinner, Owner
(906) 484-3355
Signed By Date
4/15/2019
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