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RX CARE OF MI LLC
DSH230089 WILLIAM BEAUMONT HOSPITAL D/B/A Corewell Health Beaumont Grosse Pointe Hospital
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Covered Entity Details
Entity Name
WILLIAM BEAUMONT HOSPITAL D/B/A Corewell Health Beaumont Grosse Pointe Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230089
Entity Address
468 CADIEUX ROAD
GROSSE POINTE, MI 48230
Medicare Provider Number
230089
Participating Start Date
1/1/2017
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
RX CARE OF MI LLC
Pharmacy Address
SHOPPERS PHARMACY
25014 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080-1118
Pharmacy Comments
Contract Details
Approval Date
1/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/26/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carolyn Wilson, Chief Operating Officer
(947) 522-3338
Contract Pharmacy Representative
Pharmfoodgroup
Vaibhavi Patel, Operations Manager
(813) 304-2221 Ext: 118
Signed By Date
1/7/2021
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