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JENSEN DEXTER PHARMACY, PC
DSH230046 UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
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Covered Entity Details
Entity Name
UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230046
Entity Address
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Medicare Provider Number
230046
Participating Start Date
1/1/2004
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
JENSEN DEXTER PHARMACY, PC
Pharmacy Address
DBA JENSEN'S COMMUNITY PHARMACY
7067 DEXTER ANN ARBOR RD
DEXTER, MI 48130
Pharmacy Comments
Contract Details
Approval Date
1/5/2021
Contract Begin Date
1/21/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey S. Desmond, Chief Medical Officer
(734) 936-5814
Contract Pharmacy Representative
Jensen's Community Pharmacy
Steve Jensen, Pharmacy Owner
(734) 429-9053
Signed By Date
1/5/2021
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