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FAMILY FARE PHARMACY #1504
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
FAMILY FARE PHARMACY #1504
Pharmacy Address
992 S MAIN
CHEBOYGAN, MI 49721
Pharmacy Comments
Contract Details
Approval Date
7/3/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Louise Cheeseman, CEO
(906) 643-8585 Ext: 30457
Contract Pharmacy Representative
Prevos Family Markets, Inc., Family Fare, LLC
Kristina Rooney, Pharmacy Contract Admin
(616) 878-2761
Signed By Date
7/3/2019
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