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FAMILY FARE PHARMACY #1994
CAH231324-00 EATON RAPIDS MEDICAL CENTER
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Covered Entity Details
Entity Name
EATON RAPIDS MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231324-00
Entity Address
1500 S MAIN ST
EATON RAPIDS, MI 48827
Medicare Provider Number
231324
Participating Start Date
10/1/2017
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
FAMILY FARE PHARMACY #1994
Pharmacy Address
1411 S MAIN ST
EATON RAPIDS, MI 48827-1953
Pharmacy Comments
Contract Details
Approval Date
7/1/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shari Glynn, Vice President of Finance/Chief Financial Officer
(517) 663-9456
Contract Pharmacy Representative
Prevos Family Markets, Inc., Family Fare, LLC
Kristina Rooney, Pharmacy Contract Admin
(616) 878-2761
Signed By Date
7/1/2019
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