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SPECIALIZED PHARMACY SERVICES LLC
SCH230055-00 Marshfield Medical Center - Dickinson
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Covered Entity Details
Entity Name
Marshfield Medical Center - Dickinson
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH230055-00
Entity Address
1721 S. Stephenson Avenue
Iron Mountain, MI 49801
Medicare Provider Number
230055
Participating Start Date
7/1/2017
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
SPECIALIZED PHARMACY SERVICES LLC
Pharmacy Address
DBA OMNICARE OF ESCANABA
1823 7TH AVENUE NORTH
ESCANABA, MI 49829
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
5/5/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Casanova, Manager of Pharmacy
(906) 776-5419
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/17/2023
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