340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TOM PHARMACY
CAH231331-00 SPARROW IONIA HOSPITAL
Print
Covered Entity Details
Entity Name
SPARROW IONIA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231331-00
Entity Address
3565 S. State Rd
IONIA, MI 48846
Medicare Provider Number
231331
Participating Start Date
10/1/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
TOM PHARMACY
Pharmacy Address
TOM'S PHARMACY
1462 E GRAND RIVER AVE
PORTLAND, MI 48875-1632
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bruce Shively, SHS-CFO Comm Hospitals and Comm Care
(517) 253-6140
Contract Pharmacy Representative
Tom's Food Center Inc
Steve Antaya, President
(517) 647-7373
Signed By Date
10/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session