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BYRON DRUGS LLC
DSH230270 OAKWOOD HEALTHCARE INC. dba Corewell Health Taylor Hospital
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Covered Entity Details
Entity Name
OAKWOOD HEALTHCARE INC. dba Corewell Health Taylor Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230270
Entity Address
10000 Telegraph Road
TAYLOR, MI 48180
Medicare Provider Number
230270
Participating Start Date
10/1/2015
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BYRON DRUGS LLC
Pharmacy Address
ACH PHARMACY LLC
13355 DIX TOLEDO RD
SOUTHGATE, MI 48195
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
11/1/2021
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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