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WALGREEN CO.
CAH231340-00 HURON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
HURON MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231340-00
Entity Address
1100 SOUTH VAN DYKE
BAD AXE, MI 48413
Medicare Provider Number
231340
Participating Start Date
4/8/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09450
830 N VAN DYKE RD
BAD AXE, MI 48413-9016
Pharmacy Comments
Contract Details
Approval Date
12/6/2021
Contract Begin Date
12/8/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Danielle Christine Jacks-Porter, Chief Financial Officer
(989) 894-3838
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
12/6/2021
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