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ASCENSION PHARMACY SERVICES, LLC
CAH231315-00 ASCENSION BORGESS-LEE HOSPITAL
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Covered Entity Details
Entity Name
ASCENSION BORGESS-LEE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231315-00
Entity Address
420 WEST HIGH STREET
DOWAGIAC, MI 49047
Medicare Provider Number
231315
Participating Start Date
9/30/2010
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
4/14/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/29/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Natalie C Ryder, Chief Administrative Officer
(269) 783-3080
Contract Pharmacy Representative
Ascension Michigan Pharmacy
Suzanne Noe, Pharmacist
(248) 865-3770
Signed By Date
4/14/2022
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