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WOODWARD DETROIT CVS, L.L.C.
RRC230216-00 MCLAREN PORT HURON
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Covered Entity Details
Entity Name
MCLAREN PORT HURON
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230216-00
Entity Address
1221 PINE GROVE AVENUE
PORT HURON, MI 48060
Medicare Provider Number
230216
Participating Start Date
12/7/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
WOODWARD DETROIT CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16170
4300 24TH AVE
FORT GRATIOT, MI 48059
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
2/4/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bridget Ann Sholtis, CFO
(810) 989-3749
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2022
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