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HOMETOWN PHARMACY #39 - HALE
SCH230100-00 MYMICHIGAN MEDICAL CENTER TAWAS
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Covered Entity Details
Entity Name
MYMICHIGAN MEDICAL CENTER TAWAS
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230100-00
Entity Address
200 Hemlock Road/ M-55
Tawas City, MI 48763
Medicare Provider Number
230100
Participating Start Date
7/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
HOMETOWN PHARMACY #39 - HALE
Pharmacy Address
3270 N M-65
HALE, MI 48739
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/29/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sharon K Leaman-Case, VP Operations
(989) 907-7678
Contract Pharmacy Representative
HomeTown Pharmacy Inc
Rebekah L DesArmo, Director
(231) 301-0354 Ext: 8038
Signed By Date
7/15/2021
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