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ASCENSION PHARMACY SERVICES, LLC
CAH231328-00 Ascension Borgess Allegan Hospital
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Covered Entity Details
Entity Name
Ascension Borgess Allegan Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231328-00
Entity Address
555 LINN STREET
ALLEGAN, MI 49010
Medicare Provider Number
231328
Participating Start Date
9/2/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ASCENSION PHARMACY SERVICES, LLC
Pharmacy Address
DBA ASCENSION RX 1303
30055 NORTHWESTERN HWY STE 225
FARMINGTON HILLS, MI 48334
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
1/26/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Walter Mach, Administrator
(269) 249-7955
Contract Pharmacy Representative
Ascension Michigan Pharmacy
Suzanne Noe, Pharmacist
(248) 865-3770
Signed By Date
1/18/2022
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