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HOMETOWN PHARMACY #42 - HONOR
CAH231300-00 PAUL OLIVER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PAUL OLIVER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231300-00
Entity Address
224 PARK AVENUE
FRANKFORT, MI 49635
Medicare Provider Number
231300
Participating Start Date
9/20/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
HOMETOWN PHARMACY #42 - HONOR
Pharmacy Address
10587 MAIN ST
HONOR, MI 49640-9761
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PETER MARINOFF, CHIEF OPERATING OFFICER
(231) 352-2259
Contract Pharmacy Representative
HomeTown Pharmacy Inc
Rebekah L DesArmo, Director
(231) 301-0354 Ext: 8038
Signed By Date
7/14/2020
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