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WALMART PHARMACY 10-5169
DSH230030 MyMichigan Medical Center Alma
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Covered Entity Details
Entity Name
MyMichigan Medical Center Alma
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230030
Entity Address
300 EAST WARWICK DRIVE
ALMA, MI 48801
Medicare Provider Number
230030
Participating Start Date
4/1/2018
Last Recertification Date
8/25/2022
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-5169
Pharmacy Address
2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756
Pharmacy Comments
Contract Details
Approval Date
4/13/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Heather R Wager, Director of Finance
(989) 466-3281
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/13/2023
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