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ENCAPSULATE LLC
CAH231329-00 CARO COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
CARO COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231329-00
Entity Address
401 N HOOPER ST
CARO, MI 48723
Medicare Provider Number
231329
Participating Start Date
4/21/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
ENCAPSULATE LLC
Pharmacy Address
DBA ALLY PHARMACY
1800 W CARO RD STE 1
CARO, MI 48723
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/7/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Matt Rick, Chief Operating Officer
(989) 894-3838
Contract Pharmacy Representative
Ally Pharmacy
Kacie Putman, Pharmacy Manager
(989) 589-0069
Signed By Date
1/13/2023
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